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