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1056 Kettle Creek RdCASH RECEIPT - CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNE5Q7A 55122 ? i DATE 19 . RECEIVED I ' . FRpbl . 1 . . . AMOUNT $ & DOLLAR$ ?oo El CASH - -Q CHECK POR / L. - / .fi ? Y"" ?. ! <-:-?•,1 lL .) ' /.v ? /Li- i FUND Cd[? pMOUNT ? ? ? Thank You ; 62071 BY White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN Remarks Addition LEXINGTON SQUARE Lot 5 Blk 3 Parcel 10 45075 050 03 Owner street 1056 Kettle Creek Road state Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STR EET SUR F. STREET RESTOR. GRADING SAN SEW TRUNK 1985 254.53 16.97 15 254.53 C009735 10-12-84 EWERLATERAL ben trk 1986 173.65 11.58 15 C010080 1-28-85 WATERMAIN 68.33 CO10080 1-28-85 WATER LATEFAL WATEFiAREA 286.43 COlOOHO 1-28-85 STOfiM SEW TRK 1986 501.29 33.42 15 501.29 C010080 1-28-85 STORMSEWLAT 1986 513.81 34.25 15 513.81 C010080 1-28-85 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER, SAC PARK CITY OF EAGAN ?. ? .? 11830 .? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' • PHONE: 454-8100 BUILDING PERMIT Receipt p ' ` -1 _,_ To be used tor SE' DWG?GAR Est. value $ 71,0U C pate APR tL 21 1966 SiteAddress 1056 KG'PTLc'.: CREEK RD Erect In Occupancy it3 Lot ` Block j secisub. LEXINGTON SQ Remodel ? Zoning Parcel No. Repair ? Type of Const S? Additlon ? No. Stories ¢ Name HETF,O CUSTOM HOMES Move ? Length 4? = P.0. BO:{ 1049 Demolish ? Depth ; Address Int. ImPr. ? Sq. Ft ° city AURNSN4WYE 454-9383 Install ? Z o Name "??"k`•IE $ ? Address ~ City Phone F W Name ? z Address < W City Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to.qomply with U applicable State of Minnesota Statutes and City of Eagan ._?jic€s. Assessment Permit 346.00 water 8 Sew. Surcharge 35.50 Police Plan Review 173.00 Fire SAC 575.00 Eng. WaterConn. 500.00 Planner water Meter 63.50 Council Road Unit 290 . 00 BIdg.Off. 4/21/tf6 Tr.PI. i5 Ci.UO APC Parks ?- Var. Date Co ies Signature of Permittee ? /?i Total 2. 13 9. U 0 A euilding Permit is issued to: ''?TRO CUSTOM HOthF.S on tbe express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Otticial -- ? PwmN No. MmJt Ho1dN Dda TNephom k lumbinq ? -7 ? ? A • ?? ? H.V.A.C. EIBCW CM0 SMIMN Insp"tlon DNe Insp. Comments Foollnqs 1 Footinys II Foundafbn Frsminy Roofln9 Houqh Plfp. Rouyh Hty. Inaul. S Ffreplaee Flnal Mly. 9 Final Plbq. ? ? . /o o PS &dq. Final Cart. Oee. ? Doek Ftq. Daek Frmp. Well Pr. DISP. L L • PERMIT # ' MECHANICAL PERMIT RECEIPT # (na (D ?2, CITY OF EAGAN G 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE CONTRACT PRICE PHONE: 454-8700 Site Address ' ) f r T BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub lt'? ? ' New ? ?1 Name )) Mult Add-on m Address ? „- , ? ,•?<? ' CLC? Comm. Repair c City Phone r 1/? Other Name h i" FEES c Add[pss ( ? A/IVY RES. HVAC 0-100 M BTU -$24.00 p CityJA?L/l/P L Phone ? ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. Forced Air M BTU Y COMM/IND FEE - 1% OF CONTRACT FEE 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 (ADD $.50 S/C IF PERMIT PRICE GOES Vent CFM ??ND $1,000.00) B Gas Piping Outlets # Other . FEE: ,?? S/C: SIGNATURE OF PERMITTEE ? TOTAL• FOR: CITY OF EAGAN ., ' PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 Site Address ? ? ? ? c k_v?' Lot S Block Sec/Sub m Name ?n r? r i tfG,v 41A4 ? 4/-v ? Address /S/fi5 Cifk? u??? N?l c City K` ??N,? ?•.?r Phone z 3- 3 :S?rS Name hNF_-r74? ('uSrz„ , fFc?.??5 3 Address p City Phone 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 $1,000.001 SIGNATURE OF FOR: CITY OF EAGAN PERMIT # RECEIPT # 71 DATE: ? X6 BLDG. TYPE WORK DESCRIPTION Res. X New X Mult Add-on Comm. Repair Other NO. FIXTURES , a' Water Closet - $3.00 _?Bath Tubs - $3.00 =Lavatory - $3.00 TO ?? $ ?- Dn ? Shower - $3.00 ?-Kitchen Sink - $3.00 ? Urinal/Bidet - $3.00 TLaundry Tray - $3.00 ?- ?Floor Drains - $1.50 Water Heater - $1.50 - A ? Whirlpool - $3.00 TGas 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 WAT RVICE P t M 3830 :'ilot Knob Road E SE ER IT P. Q. Box 21199 „ PERMIT NO.: tagan, MN 55121 DATE: - " Zaning; ? No. of Units: ` aMner: er._c; Custo,. Addrcss: $ite /lddreas: Plumber. . Mster No.: 0 -. ?? Size' rj oc/ , t, Reader No.:-.4 - P? feA? _ 1 pre? te ean?y wMh N??? n , $81E11orge Orli?eaor. Mlsc. Charyes: . . L Total: BY Date Paid: Dufe of Irnp.: 2- 7- </ ? Irqp.: V ' CITY OF EAGAN SEWER SERViCE PERMIT k 3830 Pilot Knob Road <. P. O. Box 21199 ? PERMIT NO.: ' Eagan, M1V 551 h - - DATE: - i , Zon,^g: 3 No. of Units: q FO _i;iU .;tt? -t;,)f ? OWfllr: •8 j Address: ? Sih Address: ? et e.,TBe. c , c8!: ,.? eX' ne cin d? . T' .. Plumbar: CSO P3Tt C_ ? ; t1.C . 0 , p. ' 1eo.« ro eo.oy wteh w CNr ef bos¦ eDnn.cion aarge: 47 5. Gnp;: j Ordiwenea. AccourM Deposit: 15, Q()fx1 • C. Permit FOOi i Surcha roe: ` BY Mi Ch ac. orpm ' Dote of Insp.: Total: ; Inap.: D t P id I a s a : TY OF EAGAN WATER SERVICE PERNUT 130 Pilot Knob Road 0. Box 21199 PERMIT NO.: igan. MN 55121 DATE: W.n0: No. of Units: mar: Ita Addrcas: 10 . $4 1 1LqmKr: Aater No.: Connection Charye: lu: Account Deposit: ' eader No.: Permit Fee: Nrw 1e aswoyr wkb IM Ciry oi byea Surcharge: '•,' homaor. Misc. Chorpes: Totol: y Date Poid: ote of Insp : Irpp.,. .4[ REQUEST FOR ELECTRICAL INSPECTION „ EB-00001-04 ? See instructions tor compleling this form on baek of yellow copy. .(=., 2F8,0 1 "x" Below Work Covered by This Request Add NeV. Type o1 Builtling Appliencee Wirsd Equipment Wire(i Home Range Temporary Service Duplex Water Heater Lightin,y Fixhires Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader, Industrial Bldg. Air Conditioner Bulk Milk Tenk Farm Otner oeciry OtnerlSpecifyl t.r Spec1 y OthCr piher t,ompute rnspectron I-ee flelow p Fee Sefvlce EntrenCe Size fl Fee FBaders/5ubteeder5 # Fr,e Circuits 0 to200Am s 0 to30Am s Dto 30Am s Above 200 qmp5 31 to 100 Amps 31 to 100 Am s Swinxning Pool Above 100_Am s Above 100_Amps Transformers 7rrigation Booms Partial.'Other Fee Signs Special Inspection - $ TOTA Nemarks S L F? ? N Rough-in Date 1, the Elec al ? Inspett0r, here6y ? certffy that the above Final inspection has been made. fMe reauesC voi018 monlha irom ThiS request vofd 18 mpn[h5 Trom C 8801 4?', 8 3 Request-Date Fire No. Re Rough-idn?IL ection eady Now C] WiII Notify. Inspec- ??'?3 Yes ?No tor When Ready V Licensed Elec[rical Coniractor I heraby request inspection of above Owner electricai work installed at: Stree[ Address, Boz or Noute No. City ecuon o. Township Name or No. Range No. Counry - Occu ant(PRINT) ?;? cus-? ? ?o??s Phone No. - 9343 Po er Supplier ft?- Elec-Fr? Address Eie?c,j rica,l Ctrac,j or iC?omv ny Name) on ' Contrar/tor's License No. K./ /I ?Id 4.+ l.. . C.e-I / I C i 49- Mailing AdJress (Contrac[or or ner Makin9 In a'lationl d ? ? ? 36? A i err 1 ? r C[ ah AutAOred Signature 1 o Iractor/O r Making Installation Phon Number zzu4 MINNESO7p STATE BOAND OF ELECTRICITY THIS INSPECTION PEQUEST WILL NOT Griggs.Midway BId9. - Room N-191 BE ACCEPTED BV THE STATE BOARD UNLES5 PROPER INSPECTION FEE IS 7821 University Ave., St. Paul, MN 55104 pti--e Ifi1121 747-2111 ENCLOSED. CITY OF EAGAN N 0 1 4 5 8 4 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDIl1G PERMIT PHONE: 454•8100 Receipt ? 0 9? # To be used for Deck Est.Value $1,000 SiteAddress 1056 Kettle Creeic Rd Lot 5 Block 3 Sec/Sub.Lexington Squar Parcel No. a Name Tom Nelson z Address 1056 Kettle Creek Rd City Eaean Phone 456-0409 0 a Name Amre o ?Q Address 1935 Co Rd B-2 P iCity-Raaeville Phone 631-0450 c~i CC ?y W Name W z2r3 Address Q W City Phone I hereby acknowledge that I have read this application and state that the informetion is correct end agree to comply with all applicable State of Minnesofa Statutes and City of Eagan Ordinances. ? Signature ofPermittee 7L.A^_4 ,or A Building Permit is issued to: Am all work shall be doQe in accordance with all applicable State of I Date February 2 ,1988 OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System _ Zoning On Site Well _ Type of Const City Water _ (Actuaq (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. APPROVALS FEES Assessments Permit [4. uu WaterySewer _ Surcharge .50 Police _ Plan Review Fire SAQ City Engr. _ SAC, MWCC Planner _ WaterConn. Council _ Water Meter Bidg. Off. Fioad Unit APC Treatment Pt Variance _ Parks Copies _ 50 TOTAL 95_n0 on the express condition that dinnesota Statutes and City of Eagan Ordinancea Building Official CITY OF EAGAN 14534 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BIAILDk'IG PERMIT Receipt? To bp used for Est. Value `Date Site Address ' OFFICE USE ONLY Lot Block Sec/Sub. On Site Sewage _ Occupancy _ , - -- MWCCSystem _ Zoning PBrCeI No. On Site Well _ Type of Const City Water _ (ACtuaq a Name ' (Allowable) W - z Address * of Stories ; ? City Phone " Length Depth S.F. Total .0 Name Foofprint S.F. o? Address =? ' APPROVALS FEES r City Phone AssessmeMS Permit ¢ Water/Sewer _ Surcharge -? pj W Name Police _ Plan Review t z s - Address ? Fire - SAC, City o ?W CityPhone Engr. _ Planner _ SAC,MWCC WaterConn. Council _ Water Meter I hereby acknowletlge that I have read this application and state 81dg.Off. _ Road Unit that the information is correct and agree to comply with all applicable APC _ TreatmentPl State of Minnesota Statutes and City of Eagan Ordinancea Variance _ Parks Copies Signature of Permittee 70TAL A Building Permit is issued to: ' on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinancea Building Official Permlt No. Permit Holder Date Telaphone # Plumbing H.V.AC. Electric Softener Inspectlon Date Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Oca Temp. LP Deck Ftg. C1eck Frmg. ? Well Pr. Disp. 6gg02- 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & townhomes/condos when permits are required for each unit -13o.so Date?/?/ ? Site Address ????,f C ree k Unit # Property Owner m N? l s? ?j Telephone #(?J?) ?? l0- v 7(/ / Contractor / Street Address Lp ? J `'? ? ? ' ! J I • ? . City Q ? State Zip Telephone # Bond #: Expires: The Applicant is _ Owner _?!Lontractor _ Other Add-on or alteration to existing dwelling unit "C furnace _Additional eplacement 30.00 air exchanger air conditioner _New _Replacement other State Surcharge $ .50 Total $ e_?6.so , I hereby appty for a Residential Mechanical Permit and acknowledge that Piet-ni be in conformance with the ordinances and codes of the Ciry of Eagan d with ', t only an application for a permit, and work is not to start wit approve plan in the case rk hich r quire a review and approval of pl C Applicant's Printed Name Appli ation is complete and accurate; that the work will Mechanical Codes; that [ understand this is not a that the work will be in accordance with the ? 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits aze 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 (or inspection 6y Fire Marshal and Plumbing /nspector Permit Fees: $70.50 Underground [ank installation/removal $50.50 Minimum (includes State Surcharge) or Contract Value $ x t% _ $ Permit Fee • If en rmit fee is $1,000 or less, add $.50 =5 $ State Surcharge If eu rmit fee is over $1,000, add $.50 for every $1,000 ermit fee $ Total Fee I hereby apply for a Commercial Mechanical 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: y?? 3 6 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) cinr oF eacani 2 2 q. 71 3830 PILOT KNOB RD - 55122 651-681-4875 New Conahuciion ReaWremenh - CA.?" I_C)ls 4 Remodel/Reoafr Reauiremenh Gar?c? ? 3 reglstered slte wrveys showMg eq. tt oi bt, sq. H. of house 2 copies of plan and go rooted areas (20°16 maximum lot eoveraae allowed) 1 set ot energy calculattons for heated addiflons ? 2 copies of plana (show beam & wlndow sizes; poured fid. deslgn; etc.) 1 stle wrvey for extedor addiflons 3 deCka > 1 set ot energy calculations D J coples of free preservaflon plon N lot plaHed after 7/1/93 Oa DATE: ?`eo n_ CONSTRUCTION COST: 0 DESCRIPTION OF WORK: STREET ADDRESS: LOT: 5 BLOCK: LZ SUBD./P.I.D. #: Name:? Phone #: Laat (Firat Street Address:,za l Iec7 --- cty L/A?r?N srare: up: PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Company;?° / SSF/ W i n??uLr/ ? ?! ??n?? Phone #: (area code) Sheef Address:?s llcense # _?Exp. Clty ti Sp State: h7k/ Zip: lIr Company; Telephone #: ( ) (I Name: Sheet Address: Registration #: City State: SeweAwater licensed plumber (if installing sewer/water): Phone #: Zip: 1 hereby acknowledge fhat I have read this appiicafbn, sfate that ihe infomAatl?rl'1s'. , and a9ree lo compiy wilh ap app6cable StotE of Minnesota Statutes and City o} Eagan Ordinances. ' / Signature of Appiicanh ? ? OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Yes _ No Yes _ No - Not Required ?! 2 ??- ` OFFICE USE ONLY BUILDING PERMIT SUBTYPES ?• 01 Foundation ? 07 05-plex O 13 16-plex ? 21 Porch (3-sea.) 02 SF Dwelling ? 08 06-ptex ? 17 Garage ? 22 Porch/Addn. (4-sea.) plex ? ? 03 01 of 09 07-plex ? 18 Deck ? 23 Porch (screened) _ ? 04 02-plex ? 10 08-plex ? 19 Lower Level O 24 Storm Damage 0 05 -03-plex ? 11 10-plex Plbg _Y or_ N? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ?-43 Reroof ? 32 Addition 0 37 Demolish (Bidg)' ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors • Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTiONS ? Stucco/Stone APPROVAt.S Planning Building Engineering Variance c? Permit Fee Valuation: Surcharge ? Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: ? 31 Ext. Ait - nnuni ? 33 Fxt. Alt - SF 0 36 MuRi SAC Units % SAC ? V j' 1986 BQILDING PERlIIT APPLICATIOA - CITY OF EAG9N NOTE: ALL CONTRACfOFS MQST BE LICENSED i1ITH THE CITY OF EAGAN SINGLE FAMIILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS M[T[.TIPLE DWELLINGS - RESIDENTIAL RENTAL i1HITS FOR SALE QNITS INCLUDE 2 SETS OF PLANS, CEaTIFICATE OF SIIRYEY - CIDECB WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $29000 LANDSCAPE BOND To Be Used For: Valuation: Site Address 1,15-(o kehe' Cteeh gmed Lot ,?- Block 3 Pareel/Sub L?Cihy? ?Uane? Owner Met ff 1 k? Address ?_ '&Y ZO zl City/Zip Code 11ur saAle ,/?/y SS 33? Phone Zj L' 9 Contractor 57 q2t-,.P.r Address City/Zip Code Phone Areh./Engr. Address City/Zip Code Phone # ;7/400 ? Date: ? d OFFICE OSE ONLY Ereet 1?. Occupancy J?"? Remodel Zoning ?j Repair Type of Const Addition # of Stories Move Length - Demolish Depth Int.Impr. Sq Ft _ 2nsta1l APPROVAIS FEES Assessments Permit 3,116- Water/Sewer Sureharge Police Plan Review ?- Fire 5AC t5 Engr Water Conn ? Planner Water Meter ?--?°- Council Road Unit ? Bldg Off Treatment P1 ? APC Parks Variance Copies TOTAI. I NOTE: ADDEBSSES FOR CORNER LOTS - CONTRACTOR/HOIiEOiINER MIIST DESIGNATSWQICH ADDRESS IS DESIRED. NO CHANGES WILL BS ALLOftED ONCE BIIILDING PERMIT IS ISSQED. 13,??Z23a 2Zx 22 = 3? X .03a ' 22? 4t?x,1Z = _ 5&08 77 ? 2? ? , -?? Bk- 39 P3.45 rAOBE CONSULTINO ENdIHEflit • ENGINEERING PLANHEAS nnd LAHD iURVEYON443322--330000(03 COMPANY, INC. A ? 1000 EJ157 146Cf S7REET, BUFiNSVIILE, YIHHESOTJI 53337 PN L'eTLz jfJZ C LLz ! te ? LoT 5, BLOCK 3j LEX/,c167VN SQUqRE, - AAKOTA CotlNT'Y, MiNNE507A K,-TTLE CREFK RaAP 69 ? NORTH ry rt! 87° sd 27"E SCAI.E ? 1" 75-00 i? 30' GROAlT 8uILDI?ct6 5 ? I SETBACK LW? I 895.33? `893.'}i ZZ_o ce94.3j N &9R._ C?4EY?.-5; DEAIOTc'5 < ?X15T/N6 ECEVATloN w I,9.o L13 ? .. v 1??. s) DE?tlOTES PROP05E0 E[.E I/RTIDA! `" ? ` g94•s' ?±??, ?,qsw) ..`? lND/CATES D/RECTIOA! OF SuRFqcE ORAiNAGE ° - ? ? ti F!Nl 5flED GAkAGE FLCOR -? ") '• ?8`94.4; .'_?`1' ? ? ELEVATIOA! ? °} C89s°? ` L5--?' L_ k-J $ARAIuA6E AND 5 U7'lLl7'( EASEMENT ? 75. oo r_s9s.4? ?894.6? N 87° 50' 27"E Ca9k.e.? I her*by cnrtify that thia ie a true and carnct repraeentation of a trtct of land as sho++n'and deacrfbed hereon.• Ae prnpnred by mn on thii ?_=_ dty of sFP,e.,?.. ? 19?. ? Hinn. ltes. Ko.?S L 4 • `? U + U ' 5U r U ° ?lJ+ `i 2`i°UU%,= 1988 BUILDING PERMIT APPLICATION - CZTY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONIlMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: Valuation: Date: 1 ias '? Site Addresa ! 05 (o Lot 5 Block ? Parcel/Sub? Owner Address lo5fo r£1TIt' Pp,+ City/Zip Code ro Phone 4,5(, Contraetor Address _1935 ?--- City/Zip Code AN S516 Phone . , OFFICE USE ONLY On site sewage _ Oecupancy MWCC system _ Zoning On site well Actual Const City water A1lowable PRV required _ # of stories Booster Pump _ Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr/Assess Permit Planner Surcharge Council ??? Plan Review Bldg. Off. '!IY-J I Z1, SAC, City Variance SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL Arch./Engr. Address City/Zip Code a y ?o . --? ,So ,50 .25. 00 Phone # c CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION ***************************#*****##* ? • **10T'G': PAYMM'NT OF F'EE AT TIME OF - * APPLscATIoN DoES NoT oOrSMTUM : Y APPROVAL OF PF•RNIT. : INSPDLTZON OF SF7WE't ANID/O2 MTFIt IPSTALLATIONS WIIZ NOT SE SCEJED-- ULID ON7.IL PERMIT HAS BFEN APPRaVID. T J -. _.. ********'4**?f*?e***'k*lk]k*?1`***1k'**'k'R'*'k*]k* P ease Print ? 1) PROPERTY ADDRESS • LEGAL DESCRIPTION: "- Lot Block Subdivlsion or Tax Parcel ID ) IF EXISTING STRC'CIL'RE. DATE OF ORIGINAL BUILDING PERMIT ISSL'ANCE: - - ? (Nbn Yearp PRESENt 7ANING/pROPOSID LSE: CA'tiMERCIAL/RETAIL/OFFICE ? R-1 SINGLE FAMILY . Q INDUSTRIAL r-I R-2 DLPLEX (TUv Lnits) Q INSTI'IUTIONAL/GOVF?2?II+g?,'NT D R-3 TOWNfiOLSE (Three + Units )( Lnits ) . Ej R-4 APARTNENT/CONIDOMINIUM ( *Units) NAME:_ &7Lc? Gc> I-nr? ADDRESS: 7j2_ .. CITY. STATE. ZIP: 'Cf1-Cr9-ri-1 PHONE: • 3) • ? 1`?AME: A9W7T}4tcu 69-no ?c ?' For City Lse .. _ - Pluttbers License: _ ADDRFSS: . .1w? Active i CITY, STATE, ZIP: r- FScpired Not recorded PHONE: 7.3 G MASTER LICENSE# . Stat?tial 4) •u • • NAME: ? _ ADDRESS: . CITY. S'TATE. ZIP: PHONE: • •5) ? v ; t r• • a?• : a o? :? ?? . ? CONNEt.TION 7O CITY SEWII2 CONNFX.TION TO CITY WATER ? 0'PfER '•? . ? • 6) ? 7) PLEASE HOLD APPROVID PERMIT FOR PICK-UP BY ONE OF AB(7VE - PLE'.AS MAIL APPROVID PERAIIT 7O 1, 2, 0 4 r AHOVE (Circle one) -I ? 5X ?? FOR CITY USE ONLY PERMIT # ISSUED 70e 3 IeP6 Pd w/Bldg. Permit r $ $ ?3So $ $ $ $ $ ?rV D C/ ? $ 5 7 $ $ $ $ S ?? •o-? $ ., .; FEES: $ `Z)-S 6 SEWER PERMIT (INCLUDE SL?RCHARGE) $ WATER PERMIT ( INCLODE SL'RCHARGE) .. $ WATER METER/COPPERHORN/OL'TSIDE READER $ WATER TAP (INCLL'DE CORPORATION STOP) $ SEWER TAP $ /J',47, ACCOLNT DEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER $ WAC $ SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRC'NK SEWER $ LATERAL BENEFIT/TRONK WATER $ WATER TREATMENT PLANT SLRCHARGE $ OTHER: $ l`') $ TOTAL ?' / 7s"?- ??.2 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK 4VITHII3 PLBLIC Q ROADWAY" MUST BE ISSLED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING C'ONDITIONS: APPROVED BY: TITLE: DATE : 5/Z /f 6 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA111787 Date Issued:07/11/2013 Permit Category:ePermit Site Address: 1056 Kettle Creek Rd Lot:5 Block: 3 Addition: Lexington Square PID:10-45075-03-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Janel Behrends 122 West 3rd S Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Thomas Nelson 1056 Kettle Creek Rd Eagan MN 55123 Haley Comfort Systems 122 West 3rd St Hastings MN 55033 (651) 437-0338 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165679 Date Issued:11/13/2020 Permit Category:ePermit Site Address: 1056 Kettle Creek Rd Lot:5 Block: 3 Addition: Lexington Square PID:10-45075-03-050 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: 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 - Thomas & Kathleen Nelson 1056 Kettle Creek Rd Saint Paul MN 55123--151 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA167915 Date Issued:04/02/2021 Permit Category:ePermit Site Address: 1056 Kettle Creek Rd Lot:5 Block: 3 Addition: Lexington Square PID:10-45075-03-050 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. *Roof permits issued between December and March will be inspected in the spring. Valuation: 10,000.00 Fee Summary:BL - Base Fee $10K $191.75 0801.4085 Surcharge - Based on Valuation $10K $5.00 9001.2195 $196.75 Total: 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 - Thomas & Kathleen Nelson 1056 Kettle Creek Rd Saint Paul MN 55123--151 (651) 456-0409 Nmc Exteriors & Remodeling 14505 21st Ave N, Suite 226 Plymouth MN 55447 (763) 244-2961 Applicant/Permitee: Signature Issued By: Signature