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 #
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CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
***************************#*****##*
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**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.
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? 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:
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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#
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Stat?tial
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NAME: ?
_ ADDRESS: .
CITY. S'TATE. ZIP:
PHONE: •
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. ? CONNEt.TION 7O CITY SEWII2 CONNFX.TION TO CITY WATER ? 0'PfER '•? .
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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
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FOR CITY USE ONLY
PERMIT # ISSUED
70e 3 IeP6
Pd w/Bldg. Permit
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$
$ ?3So
$
$
$
$
$ ?rV D C/ ?
$ 5 7
$
$
$
$
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$
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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