1049 Kettle Creek Rd- CASH RECEIPT
- - CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19 wecerveo - ?
FROM l
AMOUNT $
I I ? i f
? CASH
& DOLLAR$
? 1 oo
D CNECK
Foe
? ?? < LJ• 1 u ?I ?T J?? ?? t` i a Z.ei.?l
BY
? 152261
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
? ' CITY OF EAGAN - ' " ` °? 113 24
3830 Pqot Knob Road, P.O. Box 21-199, Eagan, MN 55121 -
PHONE: 454-8100
{U1LDI[dG PERMIT Aeceipt p t
Est. value $ 69 000
SiteAddress 1049 KFTTLE CREEK RD Erect Cl? Occupancy X 3
LEXINGTUN SQ
Lot 18 Block 2 Sec/Sub UAR$'emodel ? 2oning =?1
.
Parcel No. Repair ? Type ot Const {/
Addition ? No. Stories
¢ Name BLILIE CONSTc'2UtrTION CO Move ? Length ?8
= 644 Sitf ?'t2I?R CT
A Demolish ? Depth d9
o ddress
ciry i:AGAe4 Phone 454-1438 Int Impr.
Instau ?
? Sq. Ft
= o Name 51?.?1E
0 Q Address
~ Ciry Phone
a
F W Name
? z
a Address
< W Ciry Phone
I hereby acknowledge that I h ave read this appl ication and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature ot
A Building Permit is issued to: ".4
ail work shall be done in accordance wiUa all
Building Official
/( e
Assessment _
Water & Sew.
Police
Fire
Eng.
Planner_
Councii
BIdg.Off. 4
Date
CQNSTRUCTZON CO
Permit $ 340.00
Surcharge 34 . 50
Plan Review 170.00
SAC 575.00
Water Conn.50Q• U r;
Water Meter 63 •
Road Unit Ci . 'j'i
Tr. PL 15 i; . U u
Parks
Copie
Total ? , 1. . . u U
- on the ezpress condition that
ot Eagan Ordinances.
?DA ?
??j n xi..,;?
P*rmR No. PmmAt Holdsr Dtls Tdphone N
PlumMnY ?
Fi.V.A.C. ?
ket) ?{.
ekMc
SOIIMM
---
Impeetlon Dris Inap. Comm*nb
FooUape l -a4
Footlnys ll ?
FoundaWn
Framinq
poofinp
Rouqh Plbq. -Z- G
Rouyh Mty.
Insul.
Fksplacs
Final Htq.
Flnal Plbq.
FMd Bldp.
Grt.Oce. l/ .
Dsek flq.
Dsek Frmy.
Ws11
Pr. Disp.
PEFMIT #i
MECHANICAL PERMR RECEIPT # ?
CITY OF EAGAN
• 3830 PI LOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE: PHONE 454-8100
Site -Add
tot . Bloc n
k Sec/Sub . TYPE WORK DESCRIPTION
? .
' v
es.
New
m Name
71 Mult Add-on
m Addre?s
V '- ,
c ,
City,' :'
v Phone
C Comm. Repair
pther
?
c Name
Addrep FEES
RES. HVAC 0-100 M BTU
-$24.00
? City;' phan t' ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
Forced Air M BTU GAS OUTLETS
COMM/IND FEE - 1% OF CONTRACT FEE - 1.50 EA.
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 ;
V
t (ADD $.50 S/C IF PERMIT PRICE GOES ?
en CFM BEYOND $1,000.00)
Gas Piping Outlets #
; ?I
aner
FEE.
S/C: SIGNATURE OF PERMITTEE ( I
TOTAL•
- - - FOR: CITY OF EAGAN
- I
I
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
CONTRACT PRICE
Site /Iddreqg ) 0'
Lot % J Bloc
? Name
? Addre
c CityL),
? Name
c Addre
p Ciry ?
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
PERMIT # r vc
RECEIPT # ??C'
DATE: -r / - a
BLDG. TYPE WORK DESCRIPTION ?
?
Res. ?- New L-
Mult Add-on
Comm. Repair
Other
NO. FIXTURES TOTAL _
L Water Closet -$3.00
?Bath Tubs - $3.00 s -2
= ^ ?
Lavatory - $3.00
-
TShower - $3.00 - I
?Kitchen Sink - $3.00 - ?
Urinal/Bidet - $3.00
?Laundry Tray - $3.00
Floor Drains - $1.50
=Water Heater - $1.50
Whirlpool - $3.00
_LGas Piping OuUets - $1.50
-.T-
_Softener - $5.00
_Well - $10.00
Private Disp. - $10.00
=Rough Openings - $1.50
?
FEE 3 c' C'
STATE S/C:
- ? r
GRAND TOTAL•
i ,
CITY OF EAGAN Remarks J ! ? -- ) ' ;" '`?` ? ? -
Addition LEXINGTON SQUARE l.ot 18 elk Z Parcel 10 45075 180 02
owner Street 1049 Kettle Creek Road staie Eagan, NIN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUFiF.
STREET RESTOR.
GFADING
SAN SEW TRUNK 1985 254,53 16.97 15 254.53 C009727 1- -
EWERLATERAL ben tr 1986 173.65 11.58 15 T. 1-28-85
WATERMAIN 1986 68.3 4.56 15 68.33 C010071 1-28-85
' WATER LATERAL
WATER AREA 1986 286.4 19-10 15 286.43 C010071 1-2$-85
STORM SEW TRK 1986 501.2 33.42 15 501.29 C010071 1-28-85
STORMSEWLAT 1986 513.81 34.25 15 513.81 C010071 1-28-85
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
INSPECTION RECORD
CITYOF EAGAN PERMITTYPE: Esuic.DrNr
@:'fiC?'TK
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
. . . <.
SITEADDRESS: L,,T: APPLICANT:
,,, ? i;'p•1'1Fi CkP;Y.K kt1 v',ul. 1xIiF;E C0114S'CRlJ('7'IUM
E.?..Q , -ItE {i-,i p -5186
PERMIT SUBTYPE:
TYPE OF WORK: NEW
f.i;: ••s<!17'I:)Tt TN FAHTI+Y ROOl4
INSPECTION .. . DA
Pertnit No. Permlt Holder Dats Telephone t
ELECTRIC a ? ? v O1?
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST /
?
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
r
?_
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued: ?
(612) 681-4675
SITE ADDRESS•
'
PERMIT SUBTYPE:
APPLICANT:
TYPE OF WORK:
INSPECTION .. . D.
?
? ?
F-
Permlt No. Psrmk Holdar Deh Telephons •
ELECTRIC
PLUMBING
HVAC
Inspsctlon DeU Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDO FINAL
BSMT R.I.
BSMT FINAL
DECK Ff0
DECK FINAL ?
CITY OF EAGAN WATER SERVICE PERMR
3830 PEIst Knob Road
P,'O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zonirq: No. of Units:
Ownar. 1__ , :?•
Addrom:
Site Addrcas:
%urnber.
M.r.r Nc.: ti37D I 83 0? W?,ye:
-
? Y:
Slze: Pf6 ?
Reaad No.: Ll? '3N y Z/iAT 2 efore dco:.?
l..r.. ca eemvl, wxw u. c.ier .d"MHONDu{4
t
a
'
?
'
pq
RI ,
OnliwWer. REU1FChoral -t v , ?1
?? F
1' ' Ad c,eter
/
By """'" pota Poid:
Date of Imp.: Intp.:
!S- ?(-
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Plumbnr. SEWER SERVICE PERMIT
Eagan, MN 55121
Zaninp:
Owrre .
/lddrcss:
Site Address:
PERMIT NO.:
DATE:
No. of Unih:
r
e Cre
er Pl
! 1.18 p.: ;.exinkto=? r,?.
. I MfN N MIIIply w11h 1M Cky of anpn
OrAIMmOM.
By
Date of leup.:
Road
COfIMCf10fl QIOrgf:
AtcouM DspOdf:
Permk Fer.
Surdarpe:
Miac. Cho?pex
Tofal:
DoN Poid:
PERMIT NO.:
DATE:
No. of Units:
1° 52 Le
to esmoy wNw !M Ciry oi byse
Connection Charys:
AccouM Deposit: _
Permit Fee: -
Surcharpe:
Misc. Chorpes: -
Total:
Dote Patd:
`I/ f - °?' -o'O REQUEST FOR ELECTRICAL INSPECTION
y30' See instructions for completing this form on 6aek of yellow copy.
p 082139 "X" Below Work Covered by This Request
s oaoot-cu
-?` 77.3
NIM AMd Rep. Type o1.Building ApplianCes Wired EquiUmen: Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. ir Condit o er 11 Bulk Milk Thnk
Fafm Other pecl y Other(SPer.ifyl
the;r SuCCify Olhur
GomDute Insflection Fee Belot4 1 1
71 Fee Service EntranceSize N Fee Feeders/Suhfeaders # Fee Circuits
0 to 200 qm s 0 to 30 Am s U to
30Am )s
Above 200 qinps 37 t o 100 Amps 2
31 tn
Swimming Pool Above 100_Am s Abo_A
Transformers IrrigatiBooms Parter Fee
Signs Special Inspection 70T
Aemarks F?
?
I - d
ROUBh-in Date
I, the E ectricnl
Inspector, hereby
cerlif
that th
b
Final
Uate y
e a
ove
?spection has been
made. _
This request void 18 montM1S from
This request void 4,/
B.months irom
? 0$2136 , a
/a / 7 7 3
neuesc uate rire rvo. nougn-un Inspe.,lion
- - Required? eady Nuw Q Will Nmify Inspec-
? ?Yes ?No tor When Ready
K Li censed Electrical Cantractor 1 hereby requestinsnection of ebove
wner elecirical w rk installed at. Street Addr ss, B or oute No. C?tV
O??t Z
ecLOn m Township Name or No. R.nge No. C
Oc an?'IPRINT'1? `,.U r ? /1- "f PhF? ong N-?
xI
t
P ?r Sup ier Y'?`-L+
? Addres
EI 1cal ntra^tor n??amel? Coniractoi's License No.
7
Mailing Address (Contr or or Owner Making Instail tion)
?
AuM zed ignature l ontra or/ i Making Installation) Phonq.Qlypapp,r ?? ?Is-
MINNE O p STATE BOAHD OF ELEC4RICITY ` THIS INSPECTION HEQUEST WILL NOT
__-.-Midway Bldg. - Hoom N-197 eE ACCEPTED 9Y THE STATE BOARD
r? UNLESS PROPEH INSPECTION FEE IS
? cctn?
- ENCLOSED.
C, REQUEST FOR ELECTRICAL INSPECTION ,?. Ee-ooooi-oa
' See instructions (or completing this form on back of yellow copy.
o? "X" Below Wark Covered by This Requesi
Ad FieV• Typx ot euildine APPhonces Wired Equipment Wired
Home Fange Temporary Service
Duplex Water Heater Liyhtinq Fixtures
Apt. Buildinc? Dryer
6 Electric Heatin
Commercial Bldy.
1
Fumace
Silo Unloader
Industrial Bldg. Air Conditioner -Bulk Milk Tank
Farm Other Suec,fy Othcr (snecify)
[hAr Specify Ot er Othor
ompute Inspectron Fee Below
A Fee Service EntranceSize 4 Fee Faeders/5ubfeeders # Fee Circuics
0 to 200 qmps 0 to 30 Amps ?(l? .rb°" 1 0 to 30 Am s
Above 200 Ami>s -? -?1 to 100 Amps J 5??? 31 to 100 Amus
Swimming Pool Above 1D0_Amps Above 100_/?m s
Transformerg Irrigation Boorr's 5MI Partial%'Other Fee
Remarks Signs Special Inspection g? ? 707AL/fEE
I 5 L
RouBh-in Date \ /
q I, the Elec.u.isal
! ?6'" Inspector, hereby
certif
th
t th
b
Final .i
07e? ?/- y
a
¢ a
ove
inspection has 6een
'? ? made.
TAis request void 18 mont6s irom "
Thisrequestvoid?_?
78 mon[hs from v?? ?O f
o J821 3 L_. --
Re4vest Date Fire No. Rouph-in Inspection / ?I
?
p? Requi ed? eady NubG Vu'ill Noiify n5pe?-
?
a? es ?No r When Read 4110
9 Licensed ElecVical Contractor F???L? '
I hereby request insPection of above ?/ ?
? Owner electrical work installed at: ??
Str et Ad,d{res? s, B Rou . o.
oW
L CitY ?D
?
er.uon o. awnship Name or No. Range No. Couu? ?
l?
Occu nt (P WT) "? Phon No. -
4?5-AT) - l 3k
er Supplier Address i y...p ?
EI Cont actor (Company Na e) Co tractor's License No,
S J
Mailing AdJress (Contrac[ r Owner Making Instanation) '
, k S7337
Authoriz ignatur ICon actor Owner in Ins IlaTion) Phone Number
MINNESOTqq7E gpqpp OF EIECTRICITY ? r THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bld9. - Noom.N-191 / BE ACCEPTED BY THE STqTE BOARD
1821 University Av¢„ St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (6121 297.2111 ENCLOSED.
IIII II III II III I?? I? II II I I II I I I?I? II ?II ( II? g21 QUEST FOR ELECTR
Unrv sity Ae., Rm S-1BASt. 'Paul P, MN Tb5O04Y
* 0 2 7 3 3 2 4 4* r??.;t6 (812) 642-0800 ???,/A&
Lp' me Duplex Apt. Bldg. Qiher: New ddn
Commercial Indushial Farm Remod Re ir
Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other:
D er Ran e Elec. Heat Temp. Service
"k' above fhe work covered by this request. Enter remarks in this space and on the 6ack of the white copy only.
Calculate Inspection Fee - 7his Inspection Request will nof be accepted wifhout ihe correct fee:
Other Fee # Service Enfinnce $ize Fee # Circvih/Feeders Fee
Mo6ile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Street Lig./iraffic Sig. A6ove 200 Am A6ove 100 Amps
Transformer/Generator INSPECTOR'SUSEO ,?^. TOrljJ
Sign/OuTline Lig. Xfmr.
Alarm/Remote Conhol
Swimming Pool
Iharob cerfi hol l ins lehiescnbed herein on ihe daks stofed
Irrigation Boom ough-In ?te
S
ecial Ins
edion
p
p
Investigative Fee ;4
i
nal
F
Date
THIS INSTALLATION MAY BE ORDERED;D F NOT COMPLETED WITHIN 1 8 MONTHS.
2 1 J- 3 2 4? OFFICE USE ONLY This requesf void 18 monlhs from validotion date prinled in.ihis baa.
PLEASE PRINT OR NPE I b ?oc ??
Requast Dafyo
/
f a S' ? Rough-in inspection reqoiad2 Yes
(Yoo musl coll Me inspedor when ready) Inspecli 01hei Than Rough-In: ? Ready No ill Call
Dote Reody:
I, ? licensed contractopflqwner hereby request inspection of the above electrical work at:
Jab ?r ($t e?ox, or Roufe ??oJe
? ee City
, 2ip Code
Secfion No. Township Name or No. Ranga No. Fire No. Counly
Occupa / Phone No.
r?e R la
Power $upplier Address
Eleciricol Comr or ompany Nome) Ganfmctor License Na. Master Ga No. (Planf Elact. Onlyj
vK eo W Y) e?1
Mailing Address (Cantmctor or er Performiig Installotion)
Aath 'ied Signa re (onim r oi o(ming I la Phone No.
C.J 6 -14 6
E3-0000 )l BOAFiDCOPY-SEEINSTRUCTIONSONBACKOFYELLOWCOPY
? CITY OF EAGAN N o 11804
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55Z?L BUILDING PERMIT PHONE: 454 -8100 Receipt p ,-_
_ Tobeusedfor SF DWG/GAR Est.Value $69f000 Date APRIL 16 1986
SiteAddress 1049 KETTLE CREEK RD Erect L? Occupancy R3
LoC 18 Block 2 Sec/Sub. LEXINGTON SQUAR]Aemodel ? Zoning Rl
Parcel No. Repair ? Type of Consc t7
Addition ? No. Stories
38
Name BLILIE CONSTRUCTION CO nnove ? Length
= 644 SUPERIOR CT Demolish ? Depth 49
3 Address Int.lmPr ? S9Ft
° City EAGAN phone 454-143 Install ?
. o Name SAME Approvals Fees
O
¢ Address
~ City Phone
r- ?
h yWj
Name
? ?-y Address
a W City Phone
I hereby acknowledge that I have read th i s application and state that the
information is correct and aqre o comply with atl applicable Stafe of
Minnesota Statutes and2? an Ordinancesl1 n`
Signature of
A Building Permit issued to: -
all work shall be,done in accordance
Building Official
IE CONSTRUCTION
al I
Assessment
Water & Sew.
Police
Fire
Planner
Council
Bldg. 01
Date
.00
Permit
Surcharg ? 50
Plan Review 170. 00
SAC 575.00
Water Conn. 500 . 00
Water Meter 63 . 50
Road Unit 290 . 00
Tr. PI. 156. 00
Parks
Copies-.
Total ??: 00
'
- on the express condition that
of Eagan Ordinances.
?
RESIDENTIAL
BUILDINC PERMIT APPLICATION ?/?/c,?J
CITY OF EAGAN ?T/ r T4' (?
3830 PILOT KNOB RD, EAGAN MN 55122 ?112, ?S
651-881-4675 ?
New ConsVUCtion Reauirements
• 3 registered site surveys showing sq. fl. of lot, sq. ft. of house; and all rooled areas
(20°h madmum bt coverage allowed)
• 2 copies ot plan showing beam & window sizes; poured found design, etc.)
• 1 set oi Energy Calculations
• 3 copies of Tree Preservation Plan 'rf lot platted afler 7/1I93
• Rim Joist Delail Optbns seledion sheet (bklgs with 3 or less unMs)
DATE
RemodeUFlenair Reauirementa
. 2 copies of plan
. 1 set of Energy Calculalions tor heated addftions
• 1 site survey tor aerlor additions 8 dedc5
• Indicate if home served hy septic system for additions
VALUATION
SITE ADDRESS /??=eMX ?? ed, MULTI-FAMILY BLDG _ Y _ N
, , vA*7 ,r>
TYPE OF
APPLICANT
Air Conditioning
Heat Recovery System
STREET ADDRESS o?v? D G? ?SYt D.Lf .i _jb&,CITY STATE/2WIP54
TELEPHONE # lv/.- CELL PHONE # FAX #C?/,2 - 2?? 3
5500
PROPERN OWNER ' TELEPHONE # e?o51 - `??T
COMPLETE THIS SECTI4N FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RUI,ES 7670 CATEGORY 1 MINNESOTA RULES 7672
submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor.
Plumbing system includes:
Mechanlcal Contrnctor:
Mechanical system includes:
Sewer/Water Contractor:
FIREPLACE(S) _ 0 _ ] _ 2
Fee: $90.00
JUN 0 3 Z0?Z D
Phone
-------------------------- m ---- ft -.--------------y------ ftft ------- ft.ftft-ft =p-----.m
I hereby acknowledge that I have read this application, state ihat the information ll?borrecf, ail"d-agr_ee to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signafure of Applicant
OFFICE USE ONLY
_ Water Softener
? Water Heatei
No. of Baths
_ Phone #
L,awn Sprinkler
No, of R.I. Baths
Phone #
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex 13 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Ait - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MClES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
' REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinallC.O.
_ Footings (deck) _ FinallNo 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/repiacement)
_ Insulation _
_ Retaining Wali
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
INSPECTION RE(:Ullll
CITY OF EAGAN PERMIT TYPE
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: P• I• N.: 10-45075-180-02 APPLICANT:
LOT: 18 BLOCK: 2
1049 KE'T'TLE CREEK RD HUDALLA
LEXINGTON SQUARE (612) 221-1911
PERMIT SUBTYPE: TYPE OF WORK:
DECK
suzLozNG
@25953
07/06/95
GREGORY
NEW
? £ . ... ` 4 ' ?., r . .. ne., m .... = v ' y . . .
? ? .? ? _ ,_. . _. „ _ ...... .. . , ,..:r . .._,... . . .. . _- ? , _ ? s .. ?
1 _ ?
',CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.P1.: 10-45075-180-02
DESCRIPTION:
CIECK
NEW
ClZv Als197
r/7/9s
BUILDING
025953
07/06/95
?941 i?tn'i? ?3'°? ? 3.z, ?'k Q
.?n a? '.
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR:
ERMITEE
PERMIT
PERMIT TYPE;
Permit Number:
Date Issued:
1049 KE1'7LE CREEK RD
LO7: 18 BLOCK: 2
LEXINGTON 5Qt1flRE
OWNER: - Applicant -
HUDALLA GREGORY
1049 KET7LE CREEK RD
EAGflN MN 55123
(612)221-1911
ANIA bdf m.?
issuEO e sis Tua
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PEIaMIT cr(rl)39y
,o_1 -6) te
PERMIT TYPE: Bu2LDIxG
Permit Number: 028976
Date Issued: 10/02 /96
SITE ADDRESS:
P.I.N.: 10-45075-180-02
DESCRIPTION:
1049 KETTLE CREEK RD
LOT: 18 BLOCK: 2
LEXINGTON SQUARE
IN FAMILY ROOM
Permit Type FIREPLACE
Work Type NEW
434 ALT. RESIDENTIAL
W 3 t ?
?`^?`a3*a. ??Po'. ?s'?'°•
REYNARKS:
4@?':?A.? ••
FEE SUMMARY:
Base Fee
Surcharge
Lic. Search Fee
Total Fee
$25.00
$ . 50
$5.00
$30.50
CONTRACTOR: - Applicant - sT. Lrc pWNEF?,
PAUL LEMKE CONSTRUCTION 16$65186 3550 ?ItfDA?, A GREG
1924 COVENTRY CT 1049 KETTLE CREEK RD
MENDOTA HEIGHTS MN 55118 EAGAN MN
(612) 686-5186 (612)454-1674
?
APPLICANT/PERMITEE SIGNATURE
L?r? R o?tta-
ISSUEO eY: U
?l(? I CITY OF EAGAN ?
? x 7? 3830 PILOT KNOB RD - 55122
?% YJ 1996 FIREPLACE PERMIT APPLICATION
681-4675
DATE:
DESCRIPTION F WORK: _ CONSTRUCT 1V W FIREPLACB: _ WOOD BURNING
INSTALL GAS INSERT ONLY IN EXISTING FIREPLACE
_ INSTALL GAS LINE ONLY 1N EXISTING FIREPLACE
OTHER:
? 0,? o
P' Gps
ROOM TO BE INSTALLED IN: E-hwLy ?-?Om
STREET ADDRESS: .._Lt)4'p I<srr-r ? Q Q ,c?v- p n _
LOT ? BLOCK
APPLICANT: (circle one onty)
-2-- SUBD./P.I.D. #:
OWNER CONTRACTO?
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.
PROPERTY
OWNER
FIREPLACE
INSTALLER
GAS LINE
INSTALLER
Name: hup p tuA- G eU, I1JaKIcy Phone #: 4-S-4-l(074
IFSI FlYSf
Signature:
StreetAddress: 5??c A-. FI-boUe
City: E?66?1) State: Zip:
?t ,.
Company: ?a-vL LPKicE 0-01J,r Il+tc. Phone #: 4, 0;6-S-78 6 -r-i?
Signature:
Street Address: ] 92 !1 Co ujaL-rAj QT • License #:
City: MC*nne-,+ State: M tJ Zip: 55! !?
Company: -TcAmA M L-cj+,+-x, , ea-i _ Phone #:
Name: ?) Fa-uF kgws-r??oK
Signature:
Street Address: '?? ' 13 /vzZSQ
City: So. ST 2a-v- State: M N Zip: r?75-
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 14 Fireplace
WORK TYPE
? 31 New
? 32 Addition
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
Census Code.
SAC Code
RiAME-1:4
Chimney/flue must be inspected before concealing.
'V 340-CO t?
34Co?,0 0
34- 50+?
374 -50 0
19C-C0+?
D<:4=50 0
D75°00+?
,s119-500
SCO°.,-0+?
';s619o5C0
63°50+V
1y683o000 /
2900 GO+V'
1s973°C04
156o00+/
2s1290C00
1986 BIIILDING PERMT 9PPLIC9TIO9 - CITY OF EAGAA
NOTE: A[.I. CONTRACTOSS M[JST BE LICENSED iiITH THS CITY OF EAGAN
3INGLE FAMffLY DWELLZIiGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OE ENERGY CALCULATIONS
MQLTIPLE DWELLINGS - RESIDENTI9L RENTAL IINITS ? Fi3E SALS UNITS ?
INCLUDE 2 SETS OF PLANS, CEaTIFICATE OF SIIRVSY - CHECg WITH BLDG. DEPT.,
1 SET OF ENERGY CALCiJLATIONS
COMflMERCI.gY
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS 9ND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
(a'?'od0
To Be Used For: S F• 1?W??. ?Ca,4?, Valuation: i6349?-? Date:
Site Address I ?
Lot 1(5 Block ?
Pareel/Sub
910(,
Owner
Address ro L44
City/Zip Code
Phone W?y"/y Ig
Contractor
9ddress
City/Zip Code
Phone
Areh./Engr. _
Address
City/Zip Code
Phone #
Erect ? Occupancy R•3
Remodel _ Zoning 12. 1
Aepair _ Type of Const 'V
Addition _ lk of Stories
Move Length 38
_
Demolish _ Depth 49
Int.Impr. _ Sq Ft
Install
9PPROVAIS FSES
Assessments Permit 3 ?
Water/Sewer Sureharge ?
Police Plan Review 1-70,
Fire SAC 5-75.
Engr Water Conn Soo,
Planner Water Meter C03. 10
Council Road Unit 290.
Bldg Of Treatment Pl 15G.
APC Parks
Variance Copies
TOTAI. ? /.Z . O
NOTE: ADDRESSES EOR CORNER LOTS - CONTRACTOR/HOMEOiiNER IiUST DESIGNATE WHICH ADDRSSS
13 DESIRED. NO CHANGES WILL BE ALLOWED ONCE BDILDING PERMIT IS ISSIIED.
? 252x?
? ?X t v
=51c) Y,
2c? ? 2 ?1
: q-qoK ?Z = .Sza?
ZO K 22-
.
1 J
G,9>CQqU
- -- ? -- - -- -- -- Z ,>/'7 v arl.l- !
. +
. ( paisanbaa si l¢sieidde ajoieq palels eq oi aie
aps 6uiplinq pue sJau.Joo 10-1) suoisuawip 301 en16 's6uiplmq pesodoid pue jol'sJaalls }o ualeool nnoys isnyy
r • -v. r.?'l a ?' . ?- ..
?. • A, , •..• - ? '?- . . ? ry i_.. . . . - .. . . . .
i
d' ? • Y? ' ??.
EXTER1.01'r:f.t1NfLOPE AVEP,AGE "It; COMPUTATI0N
, . 014A1EW . . ? . ?,.. rt , •? ' ' .
?, . _ , ..
? S1TE ADDRESS
CONT1tACTOR
P; . .?'l,?UE ?? DATE S/? PHONE.
.
Determi`r#;e aEprhing. square foatage af each.
1. Tota1- exposed V;a1 T arga .. . .2251. 33 sq. ft. x•?B
?,..
2. Tatal roof/cei1inq area .::.. / .au
sq_ ft. x .Ad-+
s .
,. , .
?. ..
-. ? TQta1 expo5ed wal1 aria above floor
. _. . . V . ? .
- a. Total wa11 wipdaw area ...........................'
, b. Total door area .,........,.,,,,._ „
......... ,
- c. Total sliding g?ass?door 4rza ..... :.
d. Total fireplace =t?a1;1 ar.ea...... . . :. ? ? ? . ?j
. e. Total wall.framing arei :(averagel0%) .:.:........ -ia3,z
f, Total net: wall area abov= floor ..
? g. TotaT rim joist sr .
e.a . ................. ?..
..... . 3
1'otaT-expased foundaLicn area = 96,33
h. Total foundation windorf area.....
-
i. 7oa1 net faundation area abcve grade ........ ....
? Determine "U" value of each wall seyment.
a• Q2 ' x lillii 91 5c; .
b. ' 3?,?7 X „U„ ,123 = ?6 5_
C. ya ?X »u„ , 41?;
d. a? X f.u,,
„
e. X???
f. ?SaS.o3 x f,u,,. Ge,.2 B
. s• /_30 X;, U„ • sc1 = s. 2?
n. -- X „u„
i . 90?33 x flu,l
3-, ........:;y.tir..... ..... ...........Total = ,??73 . .
If item a3 is the same as, or less Lhan item pI, yor, hive rr,et the intent
of SOC 6006(c)2. •
?D vT
x :r
_ ,,.?
. ?' • . . - . r . , , er . ,. =%, .:a , a i
. '.I? . . . • ' _ . - - • r?"
7 ? . . . - . . ' . .. . }' / . ` _. . . ? .
?
? t. • ' ' . ` - Z
'. ?' •: Total exposed roof/ceitina area = /3O4/ •
' Total skylight area..
j. .......... ......... -
k. Total roof/ceiling framing area (average 10%)...
` I. Total net insulated roof/ceiting area........... /f 73, G
Determir,e "U" value for each roof/ceiling segment.
x u?? _
:.' k•---V.30,,y XU„ . 024;
= 3 39
•3'
: 1: /173-G x „u„ , o?S M?9-
;. 4 ......... ........"...............Total = ?• 7 3
? If total of 1#4 is the same as, or less than ,'.2, you have met the yintent of
58C 6000'(c)l. -
Alternate Building Fmi-ziop2 Design
.. ie utilize the total envelaoe systen rethod, the valuesyestablished by the
sum of 4it2Ms 13 and ;'4 shal7 not Ce qreater than the sum of items ;7 and 1#2.
+ r 33.p4 = , G,
s. a27, ?S + d.
' 7 '1G ??[?AVl9 C Er/?T?/? GFi+{` .
G
? ...
\f.. . . . ?. . __ . _....-, .. _ ..?._ ... -- .. . . .._........
_ .?
I ?. ? _...... .. . ... . ..
r ?w---?
af qnqtie wa lI o`rzp, ftr .
, ; ; - irarne ?iistrutt?an
j •`
«.
BASIC
L1.1LL
?'. FIG. b l
??. FIG. M2
?: .
tj
ISILL l SGFC.`A
$c_5?;1a_al
_ '
?GJ:?3?.TICN
- r:tu
TOPV I F.fq QE'
FR.3ttE i+1Ai.L
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7,-?
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t- .
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n
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... :
. . . i :
s ?
Ca» 9trucrion ? . Z-v_a3,be
?1.
4
;u
4 •
-
air filn, __
Tnterior 0.69
4.
+1. 2 z llicr.f?rt _ ?, u?
5. ???n?? _ •?2
6. Exterior ir fi7m 0.1.7
Total 23,03
1. ,
2nterioz air film
_ 0.68
z• L" .? ' IO
s. / • .ey
4.
Gr v
5PYZ
,,
6. Nxterior ir film 0•17
TO tol
1. Intcrior air fil.m 0.68
2. Vjflf *V Y
3. /2• •GVt}w•?",.`JS?'/P? _ t. Zc?'i
a.
5.
6. Exterior air film _ 0.17
'rotal 70
!l= , W
SLAB ON GliYkDE
..?,
s a
' FIC. N3
?.
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t?K. _ . . .. .
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.
:r-
/?f i d• •' I 1 i "
?= . • .
...?. ? - ' ? (
. /t/
•
. ( ?..,?? .
? ° 'rir = '?
. ?
-" ' r?? ` _
?
NOTE: Tnaicate tyoo, ".^•" value, depth and=: ,
plscenent ot insulakion.
, • ...? ?..,i?Y . . . . . y .
ROOr/CEiLINC
# ?.. ? ? ' . .
?' • ?
?, .
?
? Venced }ieac f low
? up -
FIG. MS ? •
Coiisiructioii .. ? R-valvc
1. Intcri r- r film 0.61
2 . f* *AstUIff • S6'
3. /O' fLLI/L#rS J8• ?.4o
4. Extr.rior air fiim (rtilI) U.GT
Tacal
.
?
1. Intcrior ai film 0.62
2. /
3. ?
4. Er.terior air lm sti _
Total
?
i .
1 I Y.eac flow up ,.: vtnted
{
' YIG. M6
- . _ . -? - -- - . ---
; 3 ?
,.? .
I ? ?
}•. _ . ? .2St •,?, .o? ? •i°?!r%`' ; ;':?;
,
?. _ ? ? '. ?...
???.•;a7?? ,•,i.
J
-' . 4 ??•
s - . . ._i I 2 ` . /
` . .' .
? c •- ? .
N0N-YENTBD
.} ? ' .
#? ..' . ? RadC -
.. , tlov up •
; • , .
FT.n. 07
O.G1 ?
? 0.17
Nolc:* Use ndditional shecta if mozc space is
• neec?ec] for cletails atid calculations.
, . ?
-? .
,.
Yi ? N
} ? .
,?? . . .. ..n ? D.?..?'.."f_?" - l ._ .. .. .. .. - . y '
$ =r =....?... 't_.... _ . . . . .. _ ......_.. ,._....,.....
Y?
•? 1. I3isicle air film
' - 2.
? 3.
1? ? 4.
S. Outsid ._ir. fil
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
NDTTF': PAYMFTIP OF k'E6 AT TIME OF
APPLICATION DOES NC7r CONMTVl'E
APPROVAL OF PERbffT.
INSPFX.TZON OF SE.TnM ANID/C2 FTATER
INSTAUAMONS WILL NC7P BE SCHID-
tnm tirrrM PERMIT HAs sEM
APPxovED.
P ease Print
1) PROPERTY ADDRESS: _ JQ ?c/ A,/j'T'?-G?' e/??- ?/ ?? •••
LEGAL DESCRIPTION: 2L '-
Lo B1ock Subdivision or Tax Parcel ID )
g E}ISTING STRL'CIi.?RE, DATE OF ORIGINAL BL'ILDIM PERMIT ISSL'ANCE: .
?
PRFSELVP ZONING/pROPOSID L?SE: ?I"bn Year)
COA4?ERCIAL/RETAIL/OFFICE ? R-1 SINGLE FAMILY
Q INDT-ISTRIAL ? R-2 DL'PLEX (Ztao Lnits)
? INSTIZL]TIONAL/GpVE2IZEpr j R-3 MWNHpt)5E (Three + Units) ( L?nits)
• ? R-4 APARTT=/C0ND0MINICIlN ( Units )
2) ?
NAME: -61-/L /eP C'01VS79-UCT/O/V
ADnRE • (254V SUPZ)'/4R.
CITY, STATE, Znr.--J
3) ?-
CITY, STi
•• •.
4)
= f2g?JCelI1v? L ?. -
`? 7d' a3?'D, .?vy >
zln:1vEV'DC7-/¢ yf 6T L 197111. 5,511C2 -
[ONE: q,5 7 - MASTER LICENSE#
CITY. STATE, ZIP:
Plumbers License;
a Active
H Expired
Not recorded
St Initial
PHONE:
?
5) '? a• • ?+• : a • n? - ?,i
? CONI?CTION T0 CITY SE4?R ?j CON[?IF7CTION TC? CITY WATE?t ? O?t '. .•
.?.?6) '? •? [? PLF.ASE HOLD ApPROVFF9 PERMIT EC)R PICK-L?P BY ONE OF ABpVE
PLFASE MAIL ApPROVID PERMIT TO 1, 2,
FOR CITY USE ONLY PERMIT # ISSUED
?y3
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SLRCHARGE )
$ $ ?G • S? WATER PERMIT ( INCLtiDE SDRCHARGE )
$ ?3• S? $ WATER METER/COPPERHORN/Ot'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ C) r'J ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ 5tq O 0-67 $ WAC
$ .57.5"'? oZ S sAC .
$ $ TRLTNK WATER ASSESSMENT
$ $ TRONK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRLNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ /6 /"O-o $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ $ D rJ TOTAL
Z-- !v.' v2, 6 /
RECEIPT RECE
IPT
DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
? ROADWAY" MUST BE ISSLED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CbLVDITIONS:
APPROVED BY:
TITLE:
DATE :
? /
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1049 Kettle Creek Rd
Lot: 18 Block: 2
PID:10- 45075- 180 -02
Use:
Description:
Sub Type: e- Siding
Work Type: Siding
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Homesure Inc
9909 S Shore Dr - Suite 250
Plymouth MN 55441
(763) 412 -4286
Addition: Lexington Square
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
Owner:
Debra L Anderson
1049 Kettle Creek Rd
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Issued By: Signature
Building
EA089368
05/28/2009
ePermit
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139109
Date Issued:10/10/2016
Permit Category:ePermit
Site Address: 1049 Kettle Creek Rd
Lot:18 Block: 2 Addition: Lexington Square
PID:10-45075-02-180
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Stephen S Tippett, Jr
1049 Kettle Creek Rd
Eagan MN 55123
(623) 302-6829
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170636
Date Issued:07/13/2021
Permit Category:ePermit
Site Address: 1049 Kettle Creek Rd
Lot:18 Block: 2 Addition: Lexington Square
PID:10-45075-02-180
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
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 -
Stephen S Jr Tippett
1049 Kettle Creek Rd
Eagan MN 55123
(612) 399-1993
Twin Cities Contracting Services
140 W 98th St, Suite 202
Bloomington MN 55420
(952) 405-6201
Applicant/Permitee: Signature Issued By: Signature