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1052 Kettle Creek RdCITY OF EAGAN Remarks -7--)l l r-,-' c./zC.[.f I Addition LEXINGTON SQUARE Lo< 6 aI k ? Parcel 10 45075 060 03 'Owner street 1052 Kettle Creek Road State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF, STREET RESTOR. GRADING SAN SEW TRUNK 254.33 C009736 10-12-84 SEWERLATERAL be t ' COZDOHL 1-28-85 WATERMAIN 6$.33 COZOOHZ 1-28-85 WATER LATERAI WATER AREA 2$6.43 C0100$1 1-2$-$5 STORMSEW TRK q 79 1986 501.2 33.42 19 501.29 C010081 1-28-85 STORMSEWLAT 1986 513.8 34.25 15 513.81 C010081 1-28-85 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK I .. , .w. . . :.9a..:. .. . . . . mrrc . . . . . .s .. CITY OF EAGAN ^ s ? 12454 3830 Ptlot Knob Road, P.O. Box 21-199, Eagan, MN 55121 I`'? _ PHONE: 454-8100 / BUILDING PERMIT Receipt# ?G ? W ?Q To be used'br SF 0i9G/GIuZ Est value $ 89 r 000 Date AUGUST 13 , 19 86 SiteAddress 1 1052 KETTLE Lot 6 Block 3 Sec/Sub. Parcel No. = o Name SRME 0 i Address ~ City Phone ?Q F W Name ? 0 Address i 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 ? A Building Permit is issued ta ???F.'PI20 CUSTOM all work shall be done in accordance with all applicable State Building ONicial C? Erect 0 Occupancy K3 Remodel ? Zoning PD Repair ? Type of Const y_p Addition ? No. Stories Move ? Length 54 Demolish ? Depth-46 Int. Impr. ? Sq. F} Install ? Assessment Water 8 Sew. Police Fire Eng. Planner ?...._..:? Bldg. Off. APC Var. Date Permit * 400.0 Surcharge yy • "' Plan Review 200.00 SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 290.00 Tr. PI. 156.00 Parks 1 Copies - --7 Tr-z7.00 on the express condition that and City of Eagan Ordinances. I I PsrmN No. I PsrmH Holder I Dsts I TNsphom M ' It Data Plby. sl Plbp. g. Final 1. Occ. :k Flq. :k Frmp. II Dlep. .. . . . . :; . . .. ,?,.,.... .a : ,. _. , . ,,.. , . . ,.;..,. . ... r . . PERMIT # MECHANICAL PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KN66 ROAD, EAGAN, MN 55121 DATE: CONTRACT PjiICE: PHONE: 454-8100 Site Address Lot Block ? Name .q Address' c City Phone " , - ? Name ? • l? . ? ? ? ?;/? i? - ; -?? ? . , ; Address , p City f Phone ' "" TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM Gas Piping Outlets # Other FEE S/C: TOTAL• BLDG. TYPE WORK DESCRIPTION Res. )ex New v • Mutt Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHAFiGE PER PERMIT - .50 $1.000.00) SIGNATURE OF PERMITTEE ? FOR: CITY OF EAGAN ? PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 :T PRICE: PHONE: 454-8100 Site Address Lot <<' Block ' Sec/Sub Name P,?„ t u??,•;r; d m AddressL r c City- ? Phone ? Name c Address ? / '• ? ' /! ? - o City .,: FEES COMM/IND FEE - 19'o 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 CaOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR CITY OF EAGAN PERMIT # RECEIPT # L DATE: BLDG. TYPE WORK DESCRIPTION Res. ? New ', Mult Add-on Comm. Repair Other NO. FIXTURES TOTAL Water Closet - $3.00 S Bath Tubs - $3.00 % ?-Lavatory - $3.00 ? Shower - $3 00 . ?Kitchen Sink - $3.00 % -Urinal/Bidet - $3.00 T ? ray - $3.00 Laundry LFloor Drains - $1.50 i - Water Heater - $1.50 ? _Whiripool - $3.00 1_Gas Piping Outlets - $1.50 Softener - $5.00 -Well - $10.00 Private Disp. - $10.00 __?_Rough Openings - $1.50 ? FEE STATE S/C: GRAND TOTAL• CITY OF EAGAN WATER SERVICE PERMIT 3830 P?ot Knob Road P. O. Sox 21199 PERMIT NO.: Ergan, MN 55121 pATE: Zoninp: - No. of Units: , Owner: Address: Siro llddrcss: %umbsr. AM?Ueftte. No.: 1?'?td?k?.?: Siu: ReclC •ao1???1': Reader No.O D g? ermit F 1 pm to eoylir wMh !M c UC" ."'T'' O?dtMne?a Mlsc. Choryes: . „pc- r? TMaI: ' i. ;lipd :°_[er BY Date Poid: Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVlCE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: zontno: ' No. of Unita: Ownar: :-tro .^.ustoi2 Hos.es Addrcss: Site Addi Plumbar; I ..m re .s?nh wnr er. cu, oF ao.. OrAIManoM. By Date of Imp.: c«,nectia, aorge: _ AcwurM Depodf: Parmit FM: Surcharps: Misc. CFarpes: ToMI: Date Poid: CITY OF EAGAN WATER SERVICE PERl1A1T 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zo^i^D: - No. of Units: Owrxr: - - /lddress: S1M Addroa: %urnber. Meter No.: Connection Charge: Size: AceouM paposit: Reader No.: Permit Fee: 1g/eN M eaeoly wMh tl» CMr of G's• Surthorge: OnonegaL Mlac. Choryas: TMOL• BY Date Pald: Date of Insp.: Imp.: CITY OF EAGAN ? 3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N- 12454 PHONE: 454-8100 t Q 0 5/ BUILDING PERMIT Receipt# o '? To6eusedlor SF DWG/GAR EstValue $$9.000 Date AUGUST 13 1986 SiteAddress 1052 KETTLE CREEK RD Erect 13 Occupency R3 Lot 6 Block 3 Sec/Sub. LEXINGTON Remodel ? Zoning PD Parcel No SQUARE Repair ? Type of Const 1114. . Addition ? No.Stories Name METRO CUSTOM HOMES INC Move ? li D h ? Length5r D th 3 Address P• O. BOX 1049 emo s Int. Pr. ? ep -?- Sq.Ft ° City BURNSV454-9383 ? Install ¢ SAME APprovale Feas Z o $ Q ame Address ~ City Phone a F W Name 00 AddreSs a z W N Ciry Phone I hereby acknowledgethatl have read this apptication and statethatthe information is correct and agree to comply with all applicable State of Minnesota Statutes and Cof Eagan Orlinan5e& . ?? A Signature of Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. 8/13 /8 6 APC Var. Date Permit $ 400.010 Surcharge 44.5a Plan Review 200. 00 SAC 575.OC Water Conn. 500.013 Water Meter 63 . 50 Road Unit 290.010 Tr. PI. 156, 0 C Parks Copie 2, 2 . 00 rMsi A Building Permit is issued to: METjRO CUSTOM HOMES on the express condition thal all work shall be done in accordance with all applic e State T Min eso ?t.aatupbEsand City of Eagan Ordinances. Building Official ?i.t .?n-? This reQUest void 18 rtqnths from . ? C 4 416 9 L?.? Request Gate Fire No. Rough-in Inspection /1_ b ? Req ireA? ' ?Ready Now0 Will Notify Inspec- [or Wh n R d a g _ ? Yes No e ea y IR Licensed Electrical Contractor I hereby request inspection ot above ? Owner eiectrital work installed at: Street Address, Box or Route No. d o k k ? Cf e City E oa e ree. i l a an ecUOn o. Township Name or No. Ranye o. Couaty l..J -t OccupantlPRINTI f 14 Phone No, e v dw e-, Power SupVlier Address AtkoAa. n?.-f-r t c, rlr/vi lh fo Electrical Contractor (Comp nv Name) lVl?dlana( ??ec--?-?? Contractor"s License No. -a-- Mailing Address (Contractor or Owner Makine [nsteilation) 95-oo w C4 /4-2d j4a &ty-?s,.r Authorized SiBnature (Co cto Owner Making Installation) Phone Numher ff90 - 96?1 MINNESOTp STATE BOARD OF ELEC{/?HICITV ' THIS INSPECTION PEQUES7 WILL NOT Griggs-Midwey 91dg. - Noom N•19y BE ACCEP7ED BY 7HE STpTE BOAND UNLESS PROVEN INSPECTION FEE IS 1821 University Ave., St. Paul, M(? 55104 Phone (612) 297-2111 ENCLOSED. ,7ry/ REQUEST FOR ELECTRICAL INSPECTlON ' es•ooooi-oa "2 9/ Q VL b IP See instructions for completinB ihis torm on back ot Vellow copy. iC 44169 "x" BeloW Work Covered by This Request AAd Rap. Type ot Building AppliOnce3 Wired Equiyment Wired Home Range Temporary Service Duplex Water Heater Lightin,y Fixtures Apt Building Dryer Electrie Heatin Commercial Bldy.' Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tenk ' Farm Othe.r perify O1nerl5nncityl t .r SUeci(y Other 01hLr ompute lnspection Fee Below p Fee ServicB EntrencaSize M Fee Feeders/Subfeaders # Fea Circuits a 0 to 200 qm s 0 to 30 Am s A 0 tn 30 Am s Above 200 qmps 31 to 100 Ainps 31 to 100 Am s Swimming Pool Above 100_Amps Above 100_Amps Transformers Irrigation t3ooms Partial•'Other Fee Signs Speciallnspection S jd . TOT - Remarks 3 , A{ FEE / -?r..d ?1 Rough-in ( Date I, the le ti'tal ? ? AX7 Inspector, here6y cenif lh t th 6 Final r Date ? a v a a a ove pection has been ?. de. Thia requesi voiG 18 moniha from V Ed/a ?F"""r ?'kw :Y ?d -?)6 "`REQUEST FOR ELECTRICAL INSPECTION Es•ooooi-oa ? ?. o I ? See instructions for comoleting this form on back o1 vellow copy. "ILW p ?o y3/ 14 4 "X" 8elow Work Covered by This Request New AAd RJp. Type of Building APpiiancee Wired Equipment WireA Home Range Temporary Service Dupiex Water Heater Lightin,y Fixtures Apt. Buildlnc7 Dryer Electric Heavn Commercial Bldg. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Otner soeci v D1he,r ISnecifyl t.r Suecifv Ot er Olher ompute lnspeciion Fee Below M Fee ServiceEntrence5ize # Fee faxders/Suhfeeders # Fee Circuits 0 to 200 Am s 0 to 30 Am 5 0 to 30 An! s Above 200 qmpy 31 to 100 Arnps 31 to 100 Am s Swinuning Pool Above 100_Amps Above 100_Amps Transformers Irrigation 13ooms Partial-'Other Fee Signs Special Inspection g $O TOT Remarks l? L FEE ?? ?. I, tbe Electrical Inspector, herehy ? cerlify that the above Final nspection has 6een ThiarequestvoiOtBmonlhsfrom -C /? <?. reQuesl void ?h5 from . `,4144"-/v?w4e z-?.,?3 ?50?1.0 ? ?? ? Hequest Date Fire No. Rouph-in Insper.ti 1 F7epwred? _]Ready Nuw N Will No?ifY. Inspec- ? es No tur When Ready tg Licensed Electrical Contractor I hereby request inspection of above ?Owner elactrical work instalied at: Street Address, Box or Route No. City 105& Iel o A A AK-%j e tion o. TownshiD Name or No. . Range No. County c-A A "`i.J rr., OccuVant(PRINT) Phone No. rne1-1;kC!:) c- " L[sy -938 3 Power SupOlier Address oAtcy-nA £ - T n, `? N Electrical Contractor (Company Name) Contractor's License No. M, 0 c.A1Q 0 -L 1: ? lC,o?p- Mailine Address (Contractor or Owner Making Instailation) a 5 r?. U Authorized Signature Contractor/Owner Making Installation) a Phone Number . MINNESOTA STATE BOARD'Of ELECTRICITY THIS INSPEC710N REQUEST yVILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTEU BY THE STATE BOARO UNLESS PflOPER INSPECTION FEE IS 1821 UniversitV Nva., St. Peul, MN 55104 ph?.e 16121 297.2111 ENCLOSED. ; ? s: ? 1986 BIIILDING PERNIIT APPLICATION - CITY OF E6GAN NOTE: 9LL C01[CT0WRS MDST BE LICENSED iTlTH THE CITY OF EAG9N 3IHGLE F9rIILY DWELLIAGS INCLUDE 2 SETS OE PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLE DWELLIHGS - R&SIDENTIAL RENTAL IINZTS FOE SALS IINITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRVEY - CHSCg WITH BLDG. DEPT., 1 SET OE ENERGY CALCIILATIONS COHIMRCIAG INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Uaed For: 5; na le Fa?r?; I U Valuation: Date: $/l1 l8(0 -T Site Address 10'rJ z- Ke+}- le, C ree K ? OFFICE USE ONLY Lot 6 Block -3 Parcel/Sub Lef0Y1UqYe Owner 11? ?,?-ro C.U g+om Nnme S Tnr Address _&-&x-1bNq City/Zip Code NrnSVi IIe, IYIN 5533 Phone 1454- 9M3 Contractor 5A m e- Address City/Zip Code Phone Arch./Engr. 5 A me, Address City/Zip Code Phone # Erect Occupancy jJ3 Remodel Zoning _ Repair Type of Const Addition # of Stories Move Length - Demolish Depth Int.Impr. Sq Ft Install AepaovAts FEEs Assessments Permit ki22 Water/5ewer Sureharge , 150 Police Plan Review Zo,?)O Fire SAC 5 7s Engr Water Conn f:x2o Planner Water Meter Council Road Unit ? Bldg Off 9K- Treatment Pl /,f? APC Parks Variance Copies TOTAL ? NOTE: ADDRESSES FOR CORNEE LOTS - CONTRACTOR/HOMEOWNER M05T DESIGNATE i1HICH ADDRSSS IS DESIRfiD. NO CHANG&S WII.L BE 9LLOiIED ONCE B[TILDING PERMIT IS ISSIIED. -x s? = ??/63z 4,?'r S?j= 129yZ c h _. 5 aG 2? = I? ?r 5 f 3- 22,c 22 = y.,P??X I2 - s? + ??. ?' ?8?3Z • ? s 4 MEN AOBE PNGtNEfR[NG COMPriNY, tNC. ? 1COa EAST 1461h SiREE7, KETTL E Cl?EE? ROAD ? N ,V 7 ' 27"E 75. DSoO C4e.?''ZZ?`Z CtZZe ?L?"'e [?,/ Zgoc? .?e?cr?p?iorLr GDT 6, BGDCK 3 LE.Y/NGTON SQUA.PE, DAKOTA COUN Ty , M/NIt/ESD TA. NORTH SCAG E - / "= 3 D' METRO CUSTdM /iOMES COHSllt71N0 EHf3lNff415 ??X ? PiANHEAS nnd LRHD ii1AVEY0f1S yG S3 BURNSYtILE , 111HHE!0i1l 5.`.337 PH 4Z2-3000 r?9/..$) a (B 9 ' a) 30' FRONT BU/L D/A/G ` SET' BACK L /NE ? th m? UN n , . ? r\ o ,ORA/NAGE f' UT/C / Ty E?SEMENT hY (B 95.33)'?t ;3; 0 2z.oo 0 .?? ? ?I GA2AGE? ?----- a P?F?SE? ? 1 I ???r yoUSE N I ;b943? !B4 fz95.o)? I 0 . I r? ? vt ? . i ? ? I sA: tll --__ ___ (e9s• - 7f'06 t.....-. , N g7° 50' 27"E ,-'- .4 ! i ;,• . ?- .---, DEiVOTES EX/ST/NG E1-E41197-101V (895.o) DEiS/Q TES PRaPc1SED EL E!/.4 T/ON /ND/CATES 012EC7-10N OF S4JRF.4ef D,PA/NAGE 893 33 = f/N/SHEA G'ARAGE F'GOOR ELEU•47-10M I hersby caMify that thia ia a t:,je and cor^ect rspresentation vf a trac! of linrshoxn'and described herton.• Aa prapared by mn on thia $n?? daY of , 19 8 . 0 (892.3) R I C?} t /adG N O -' ? ? N ? O S ? Hinn. ll?S. No. /GaSs 'AYSKFTiT OF E'EE AT TIME OF .Yr...i.r.-ION DOFS N]C7P CONSI'IRTJTE APPROVAL OF PERNIIT. APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION --------------------------------- P ease Print PROPERTY ADDRESS: LEGAL DESCRIpTION: Lot 6 Block 3 lst addition Lexington Square 1052 Kettle Creek Road • . Lot Block Subdivision or Tax Parcel ID ) IF EXQSTING STRUMME, DATE OF ORIGINAL BT-IILDING pERMIT ISSt'ANCE: PRESENr ZONING/PROPOSID LSE: «"on? Year [l CONYMERCIAL/RETAII,/OFFICE ? R-1 SINGLE FAMILY Q IDIDC'STRIAL ? R-2 DL'PLEX (TWo L'nits) Q INSTIZL'TIONAL/GOVERta1ENr ? R-3 rMWNHOUSE (Three + Units) ( Units) . ? R-4 APAR2MENT/CONIDOMIATIDM ( Units ) NA2= Northrup Mechanical Inc. ADDRESS: 7640 146th Street -CITYP STATE, ZIP= Apple Valley, MN 55124 ?ONE: 432-0175 • i: ?- NA?E= Northrup Mechanical Inc. ADDRESS: 7640 146th Street CITY, STATE, ZIP: Anble Vallev MN 55124 PHONE: 43 2-0175 MASTER LICENSE# 2443M • • • • ? i?• --- NA`E: Metro Home Builders ADDRFSS: PO Box 1049 ' CITi', STATE, ZIP= Burnsville, MN 55337 PHONE: 454-9383 - , '? °i' ' ?' : a ? a• - ?. Active Expired Not recorded Staff Initial ?X CONNEC.fiION 1b CITY SEWER ? CONMDC,Z'ION M CITY WATII2 Q OTHER ' . PLEA.SE FiOLD APPROVID PERMIT FOR PICK-LP BY ONE OF ABOVE MAIL APPROVED PERMIT TO 1,20 3. 4. ABOVE (Circle one) ' INSPDCTION OF SEWM APID/QR WATIIt ITAL?.AmrONS WIIL NOr BE SCHED- ULID UNrIL PERMIT HAS BEIId APPROVID. I September 5, 1986 FOR CITY USE ONLY PERMIT # ISSUED . 7 Pd w/Bldg. Permit FEES: $ $ %e5 - ? SEWER PERMIT (INCLUDE SORCHARGE) $ $ WATER PERMIT (INCLUDE SL'RCHARGE ) . $ $ ' WATER METER/COPPERHORN/OL'TSIDE READER $ $ WA2ER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUN T DEPOSIT - SEWER $ $ 1?5-1 ACCOLN T DEPOSIT - WATER S $ WAC $ S 7S^? 0-0 $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRLNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERA L BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ S-o $ TOTAL Zo f 6(1a _3 RECEIPT RECEIPT DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MLST BE ISSUED BY THE ENGINEERING [VO DIVISION. LIST AS A CONDITION. SLBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : 9- f ? ??? ? n n n n ? n n n n n n rt n F F F F F??? x x F F x x x x****?**** CITY OF EAGAN CASHIER: JS TERMINAL NO: 014 DATE: 04/12/00 TIME: 10:01:37 ID: NAME: KASTLE ROOFING & REMODELING 3210 9001 1052 KTTLE CRK 125.25 2155 9001 1052 KTTLE CRK 3.00 Total Receipt Amount: 128.25 CR125980 USER ID: JAN 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN lq" ---- 3830 PILOT 651-881-4875 55122 I ? J reqlatemd site wrveys ahowing sq. (L ot lot, sq. fl. O( house and gg rooled areaa (2096 mmdmum bt coveraae albwed) D 2 coples of plans (ahow beam & wincbw slzea; poured tnd. deslgn; etc.) > 1 sst of enerpy calculaNons ? 3 Copies W hee preaervailon plan It lot ptatted after 7/1/93 DATE: / - /I " C'O .. _ i DESCRIPTION OF WORK: °91" Remodel/Reoalr Reauirements ) - I_ ((- 00 2 Cop(es ot plan 1 set of energy CalCUlatlons tor heqled Cddiflons 1 site wrvey tor exteAor addlHOns & decks CONSTRUCTION COST: STREET ADDRESS: ?(n S 2 A LOT: ?2 BLOCK: _a SUBD./P.I.D. #: v\-RAU V\' Ss?. 9-- PROPERTY OWNER COMRACTOR ARCHITECT/ ENGINEER Name: am ?;?t'I : °?G Phone Laat ? f Flrat ? g7? qS? Z Sheef Address: City Stqte: 21p: Company:__ Phone ri: rZ <; ?-7- 30 ?,Q (area code) Sheet Address: License City ??g State:,? ? Zip: Company: Telephone #: ( ) Name: Sheet Address: Regishaflon #: Cify State: Zlp: Sewerhvater licensed plumber (if installina sewer/waterl: Phone #: ( i hereby acknowledge fhaf I have read Ihis appiicafbn, slate that fhe in}ortnaHon is cortect, and agree to comply wilh all appiicable State of Minnesota Stalutes and Cify ot Eagan Ordinances. Signature of OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received Yes _ No Yes _ No _ Not Required i ? BUILDING PERMIT SUBTYPES ? 01 Foundation O 07 05-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 OS-plex ? 05 03-plex ? 11 10-piex ? 06 04-plex ? 12 12-plex WORK TYPE 13 31 New ? 32 Addition 0 33 Alteration ? 34 Repair OFFICE USE ONLY , ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mutti O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 19 Lower Level ? 24 Storm Damage Plbg _Y or _ N ? 25 Miscellaneous O 20 Pool ? 30 Accessory Bldg. ? 36 Move Bidg. ? 43 Reroof ? 37 Demolish (Bldg)' ? 44 Siding ? 38 Demolish (Interior) ? 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code No. of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Permit Fee 2 S. 2<?- Surcharge 2? . c) v Plan Review License MC1ES SAC City SAC Water Conn. Water Meter Acct. Oeposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies _ TotaL• I -DFs? sq.ft. sq.ft. Footprint sq. ft. Census Code MC/ES System Ciry Water Booster Pump PRV Fire Sprinklered _ Engineering Variance Valuation: $ SAC Units % SAC PERMIT City of Eagan Permit Type:Building Permit Number:EA170857 Date Issued:07/20/2021 Permit Category:ePermit Site Address: 1052 Kettle Creek Rd Lot:6 Block: 3 Addition: Lexington Square PID:10-45075-03-060 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 - George J & Eva M Damian 1052 Kettle Creek Rd Eagan MN 55123--151 A Team Construction Inc 13743 Aberdeen St NE Ham Lake MN 55304 (763) 710-9955 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA178788 Date Issued:09/01/2022 Permit Category:ePermit Site Address: 1052 Kettle Creek Rd Lot:6 Block: 3 Addition: Lexington Square PID:10-45075-03-060 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: 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 - George J & Eva M Damian 1052 Kettle Creek Rd Eagan MN 55123--151 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-7052 Applicant/Permitee: Signature Issued By: Signature