1057 Kettle Creek RdBLDG. PERMIT ti0.
L? ? ) ?i?i T?'
01-321b g1dg.?.Permit
01-3422 Plan Check
01-3445 Surch. /Adn:.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
---??-
_ •; I ? ?.
i, IC^d
? CASH RECEIPT ?
.
RECEIVeo
PROM
AMOUNT $
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
BATE 19
I
8 DOLLARf
t oo
[:1 CASH 0 CHECK
PoR
White-Payen CoPY
Yellow-Posting CoPY
Pink-File Copy
Thank You
,
BY i -
CITY OF EAGAN Remarks ?T,
Addition LERINGTON SQUARE Lot 16 Bik 2 Parcel 10 45075 160 02
Owner
street 1057 Kettle Creek Road State Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK q3k 1985 254.53 16.97 1 254.53 C009725 10-12-84
SEWERLATERAL . 65 C010069 1-28-85
WATERMAIN 1986 68.3 4.56 15 68.33 C010069 1-28-85
WATERLATERAL
WATER AREA 2$6.43 C010069 1-28-8$
STORM SEW TRK 1986 01.2 2 15 501.29 C010069 1-28-85
STORMSEWLAT qZA' 1986 513.81 34.25 513.81 C010069 1-2 - 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN,
9UILDING PER.
SAC
PARK
CITY OF EAGAN
;?• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N Q 12757
PHONE: 454-8100
BUILDING PERMIT Receipt#
To be used tor SF llW%/GAfi Est. value $65,000 pate OCTOBF:R 10 19 8 G
SiieAddress 1057 KETTLE CREEK RD
Lot 16 eiock 2 secisub. LEXINGT
W Name h1ETi2Q CU5TOM HOMES
3 Address P• O. BOX 1 049
° Ciry B' VILLFphone 456-9066
¢
= o Name SAME
O¢ Address
~ City Phone
Phone
I hereby acknowledge that I have read this application and state thatthe
information is correct and agree [o comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Erect L't Occupancy R3
Remodel ? Zoning R1
Repair ? Type of Const V
Addition ? No. Stories
Move ? Length 41
Demolish
Int Impr. ?
? Depth 4
Sq. Ft
Install ?
Assessment _
Water & Sew.
Police
Fire
Eng.
Planner
Council _
APC
V Dt
Permit $ 328.00
Surcharge 32.50
Plan Review 164.00
Water Conn. 500.00
Water Meter 63 . 50
RoadUnit 290.0G
Tr. PI. 15 b.:i G
Parks
ar. a e I Copies?
Signature of Permitlee Total
A Buildin Permit is issued to: METRO CUSTOM HOMES
9 on the express condition that
all work shall be done in accordance with all applieqible State of MinnesolaStatutes and City of Eagan Ordinances.
Building Oflicial -
• PsrinR No. Permlt HWdsr DNS Tdsphons N
PIum4MO q /1 / ? ????
H.V.A.C.
Electrlc C.> vv'?
SoHMer
ImpoeUon Dete InaP. Commenb
FooMny.I G ?.{
FooNnys ll
Foundatbn
Fnminp
RooNnp
Nouyh Plbp. 1, -0 Q. ? /-/ - ` /
Rouyh Hty.
lnsul.
Firepaee
FInN Hiq. n
Final Plby. p -/9 f(
Bldp. FMSI ?I
Cart. Oee.
Deck Flp.
Dsck Prmq.
WMI
Pr. Dlsp.
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
CONTRACT PRICE: PHONE: 454-8100
Site Address '-_,?
Lot /?5 glock Sec
? Name
m Address /S 1M
c City µi#- Phone
I Name llrYf?6c1 ('dSTa?
; AddressTr???.la:• ?.
p City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
PERMIT #
RECEIPT #
DATE: A
PLDG. TYP? WORK D IPTION
? New
Mult. Add-on '
Comm. Repair
Other '
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. ' FIXTURES TOTAL
-L_Water Closet - $3.00 $
?-
.?Bath Tubs - $3.00 3
-1-Lavatory - $3.00 3 ?
-Shower - $3.00
_1 Ki?chen $ink - $3.00 3 "
-UrinaliBidet - $3.00
--I_Laundry Tray - $3.00 3 -
Floor Drains - $1.50
Water Heater - $1 50
Whirlpool - $300
=Gas Piping Outlets - $1.50 ?
(MINIMUM - 1 PER PERMIn
-Softener - $5.00
-Well - $10.00
_Private Disp. - $10.00
_9 Rough Openings - $1.50 I?' SJ
SiGNATURE OF PERMI EE ' FEE:
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL: ?-'"
•i: .
SReAddress
Lot Block
m Name
m Addre
c City
? Name
c Addre
O CitY -
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
MECHANICAL PERMIT
CITY OF EA(iAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
BLDCa. TYPE
Res. -
Mult
Comm.
Other
Phone
? M BTU
M BTU
M BTU
M BTU
CFM
?
FEE:
S/C:
TOTAL•
- ,/ 'e-? _,
$ -
S
PERMIT # '
RECEIPT #
DATE
WORK DESCRIPTION
New /
Add-on
Repair
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 CONTFACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
CITY OF EAGAN
% 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100
BUILDING PERMIT Receipt#
.
7o be used for Est. Value ` i , •; Date ,19 '
>
SiteAddress
Lot Block Sec/Sub. t"?` ?. On Site Sewage
, MWCC System
Parcel No.
On Site Well
¢ Name Ciry Water
W PRV Required
z Address -
p Booster Pump
City Phone
¢
.o Name
o? Address } ' ? '..
Ur°C- Clty ?• ? ? PhOne
U¢
y? W Name
F W
_o Address
U
Q 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.
Building Oificial APPROVALS
SignaWre of Permittee
A Building Permit is issued to: '
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Stafutes and City ot Eagan Ordinances.
Engr./Assess. _
Planner _
Council _
BIdg.Off. _
Variance _
Occupancy
Zoning
(Actual) Conat
(Alloweble)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
water Conn.
Water Meter
Road Unit
Treatment P7
Parks
TOTAL
T4--.-
Permit No. Psrmit Holder Date Telaphona #
Plumbing ,
H.V.A.C.
Electric
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg. ?? ? 11Lj4
Deck Final
Well
Pr. Disp.
CITY OF EAGAN
3830 Pilot Kno6 Rwd SEWER SERVlCE PERMiT
P. O. Box 21189
Eagan, MN 55121 PERAAIT NO.: ?' 2 c=
Zontng' ^1 DATE:
No. of Unita: i
Ownsr. *`eLTD CiiSio+.},
Addreu:
Site Addrou: 1J57 Rett le Cr•:.=-'•: ?a.sd '' ?. ;;? e
" T ° n
-.
L
Plumber. !`lorthrun `_.;eChlaztlc: .,
:' .
R :J
„
?"FM tO OOA* M" an (R
iw ff 10n,np u
"p¦
Y
OlAIMOCN, CORrwCffOfl Chp/gR: i-r r?nn.]
? --=-'?
Acca,rN Devo+n: - ' ? r•:i?a
Permlt Fea:
B
y Surcharysc ? ?' i
Doro of Insp.: Misc. Charom
Insp.: Total:
Dah Poid:
=CITY OF EAGAN
FIIaI Krr)b Road
' o. ?aox 211 99
?98n, MN 551?21
ning:
ner. Metro Cuatom Homes
dress:
SReAddess: 1057 Kettle Creek
? Plumber. orthrup Mechanica
Meter No.: -37
SIZe: %" (roaf<
t Reader No.:
?
WATER SERVICE PERMIT
PERMITNO.: 8130
DATE: 10-31-0
No. of Units:
L16 B2 Lex
1 ag?ee to com wlfh ths Clty . SOpd
na
' Ordinces. i' IN
?-yh??g. 156.OOpd TP
By ?- '? ? 63.50 d
ter
C Date of Insp.: Date Paid:
Insp.:
CITY OF EAGAN
3830 Pllot Knob Road WATER SERVICE PERMIT
PD•Box27799
Eagan, MN 551;1 PERMITNO.: C 13(1
__
DATE
- -''"
Zoning: - :
' etro Custom I{omes
Owner.
No. of Units: -
Address:
SiteAdd?ss: j`l'? `'ett1e
'
x n? or
Plumber.
"'it}'ruP "'echanica
Meter No.: ?
Size: Connection Gharge: ?
' •
ReaderNo.: Account Deposit: ? • (''n`
I agree fo comply wHh the Cify of Eagan Permit • ,?P?-
SrchaFge: ..;,,.pc
Ordinances, ?
Misa Charges: IDO-UUDC '
eY Total: 63.S()pd rn et r I
Date of Ins
p"
Date Paid:
I
, Insp.: ?
,
;
• CASH RECEIPT •
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
? .
DATE ? 1
FECEIVED y / _
AMOUNT
DOLLARS
FUNO COOE AMOUNT
75c ?
?
a ?
Thank You
No- 67968
White-Payers Copy
Yellow-Posting Copy
Pink-File Copv
? CASH F?CHECK
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121N2 12757
PHONE: 454-8100
BUILDING PERMIT Receiptp
7o be used for SF DWG/GAR Est. value $ 6 5r0 0 0 Date OCTOBER 10 19 86
1057 RETTLE CREER RD R3
Site Address Erect ? Occupancy
Lot 16 aiock 2 Sec/Sub. LEXINGTON SQ 1 Remodel ? zoniny Rl
Parcel No. Repair ? Type of Const V
Addition ? No. Stories
¢ Name METRO CUSTOM HOMES Move ? Length 41
= 1049 Demolisn ? Depth 47
3 Address P.O. BOX Int. Impr. ? Sq. Fr
° city B'VILLEpnone 456-9066 install ?
o Name SAME
=
? ¢ Address
? City Phone
F W Name
?
? Address
z
a W City Phone
Assessment _
Water & Sew
Police
Fire
Eng.
Planner
Fees
Permit $ 328.00
Surcharge 32.50
PNan Review 164 . 00
SAC 575.00
Water Conn. 500 . 00
Water Meter 63 . 50
Council 'Road Unit 290.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 10/7/86 Tr.pi. 156.00
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ci"f Eaqan Ordina es. APC Parks
Signature of Permittee?GS/"`^-' Var. Date Copies
Total $ 2.10 9. 0 0
A Buildin Permit is issued to: MET O CUSTOM HOME
9 on the express condition that
all work shall be done in accordance with le Stat of Minn tu and City of Eagan Ordinances.
Building Official _
CITY OF EAGAN . Nm 14 6 2 7
3830 Pilot Knob Road, P.O. Box 21-199; Eagan, MN 55121
" PHONE:454•8100
BUILDING PERMIT Receipt#
Tobeusedfor JECK 201x12' Est.Value $1,000 Date FPhr„arV 74 ,19R,$-
Site Address 1057 KETTLE CREEK RD
Lot 16 Block 2 Sec/Sub. LEXINGTON SQUARE
Parcei No.
a Name ED GRAHAM
= Address 1057 KETTLE CREEK RD
? City EAGAN Phone 452-0920
a
o Name AMRE
?Q Address 1935 Co. Rd. B-2
?0 City Roseville Phone 631-0450
U?
?y W Name
_g Address
?Z
? City Phone
W
Q
I hereby ecknowledge that I have read this application and state lhat the
informatiOn is Correcl and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. n
Signature of Permitlee
A 8uilding Permit is issued to:- AMRE ONST.
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official Lner 6&'z Af/
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System Zoning
On Site Well _ (Actual) Const
City Water _ (Allowable)
PRV Required - # of Stories
Booster Pump _ Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
24•00
Engr./Assess. Permif
Planner Surcharge -$p- .
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
7reatment P1
Parks
TOTAL L4.50
7his reques[ void
18 mon[hs from ?
(' 6 482 0 L ?<< x. s a. .?i?-on
Request Date
/ Fire No. Rou h-in InsU cion
R ired?
Ready Nnw [] Will Notifv Inspec-
O
+ - a .? (? Yes ?No [or When Ready
Licensed Electrical Contractor 1 hereby repuestinsoection of e6ove
Owner electrical wark installed at:
Sireet Address, Boz or Route No.
,< r/ /$ R4 City
a ao
ecUOn o. Township Name or No. ange No. Count`y
Oc u ant IPRINTI Phone Nn.
Pow r Supplier
aka l'et, 6le G Address ?
41300 ?p
EI tA?
/ icat /Contractor (Company Name)
t CoMractor'S License No.
/ ? ?ll.f?ia" 6
eatrfc? 4l6 lo r?
Mailing AdJress IContractor or Owner Makine Instai ationl
?'DD W Cp 19GtYdt 5 u t
Authorized S? on clor/Owner Ma ing Installationl Phone Number
IFLO - d? 6 1 /
MINNESOTA STATE BOARD O; EµtCTRICITY 7H15 INSPECTION HEQUEST WIIL NOT
Origgs-Midway Bldg. - Noom N.1B7 BE ACCEPTED BY TIiE STATE BOARD
1821 Univarsitv Ava.. St. Paul, MN 55704 UNLESS PHOPEN INSPECTION FEE IS
Phone(612) 642-0800 ENCLOSED.
1613 (3/REQUEST FOR ELECTRICAL INSPECTION es-aoooi-os
w.
? See instructions for compleling lhis form on back o1 yellow copy.
4, f
P_ PA Q7n "X" Below Work Covered by 7his Request
FIa4 Addi Reu.I Tyoe ot BuilAing I Apptiun[ee Wired I ? EquiVment WireA I
Duplex Water Heater Lightin,y Fixtures
Apt. 8uilding Dryer ElectricNeaUn
Commerc>ial Bldg.
I
I Furnace Silo Unloader
Industrial Bldg. Air Conditioner - Bulk Milk Tank
Farm I Other PecifY Qther (Specify)
p FeB - Servite EntrancBSixe q Fee Fee.ders/Subfeeders M. Fxa Circuils
U to 200 Am s 0 to 30 qm s 0 to 30 Am s
Above 200 qmps 31 to 100 Amps 31 to 100 AnVs
Swimming Pool Above 100-Am s Above 100_Amps
Transtormers Irrigation Booms Partial."Other Fee
I Si9ns ? i Speciallnspection 1.
TOTAL FEE
emarks
Nough-in - Da[e
1, the Elactrical
Inspector, hereby
certif
that 1he xh
v
Final
Date y
o
e
insDection has been
,maaa
Thierequestvoitll8monthafrom
L /
f ? = %
c)/?REQUEST FOR ELECTRICAL INSPECTION w B-00001-0C.5
II, See instruetions 1or completinp this form on beck ot vellow copy.
Ir _?°-e.A "X" Below Work Covered by This Request
AAd Rep. Type ol BuilEing Appliancee Wirad Equipment Wired
Home Range Temporary Service
Duolex Water Heater Liqhtinq Fixtures
? j nno umoaaer ?
.ommerciai aiag. 1 x1 rumace
? Industrial Blda. Air Conditioner Bulk Milk Tank ?
?-InP.r IJPeri
pection
p Fee ServiceEnlrBneeSize 7t Fee Feeders/Subfaeders il Fee Circuits
a.OD U to 200 qm 5 0 to 30 Am s 0 to 30 Am s
Above 200 Amps 31 to 100 Amps ? 9t7 31 to 100 Am s
Swimming Pool Above 100_Am s Above 100_Am s
Transformers Irngation Booms 1-50 Partial-'Other fee
Signs Special Inspection $?-;D I TOTAL FEE?,6 1?
emerks
/(AY+Of>
".. ••• "' 1 the E1?1
? /??? Inspector, ?erehy
certitY lhet tha above
Finel nsDettion h89 bebn
, mede.
from
This request void/,?`cf/SY(p 18 rtqnths 1rom
C64842//6,
?C y '?Z J S?
nequesc uate ' Fire No.() ouph-"n'Insvection ,?/ r
e ufrd? ?Ready Now ?gWill Notify. tnspec-
'? (Yes ?rvo T Ior When Reody
Licensed Eleclrical Contractor 1 hereby request inspection of above
? Owner , electricai work instelled et:
Street Address, Box or Ro te
N
o. City
? .
?
./
/O ?/ /_
4..?
a LC iI
ection o.
I Township Name or No.
I Ranee No. County
?leD4a,
OccupantiPRINT) Phone No.
e+ro K'a
on-?
Pow r SupOlier Address
` aYm,n -fvh
Eleclrical Contractor ICompany Name) Coniractor's License No.
M?dland ?1 ec-?rte? `?/b!b -?.
MailinB Address (Contractor or Owner Makine Installation)
00 Inl . ?'v ?aP ?a Bu?'ns v/
Au i d i re octor/ er Makine Installationl Pho
ne
Number
?
7 f/ - n
O
MINNESOTA STATE BOOD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midwey BIdB• - Room N•191 BE ACCEPTED BY THE STATE BOqpD
1821 Universitv Ave.. St. Veul, MN 65704 UNLESS PNOPEfl INSPECTION FEE IS
Phone(612)642-0800 ENCLOSED.
?k?1diK."?:krc'%h? ?'r#s'r ?f:M. ;• ?:;±sti;:1;'`k :y;;R;957k'r':?K7k%K"•,SY,;:IC?nkcz,roC?(t
C.'ZTY C't=' G:fif.._.AN , .
CASIi.!'Gi<: "75 TCRiMINAL NOx E•Eit
r_?A"fI. d•tr18/99 TJ.M'_•: 1'.'nG6siF? ,
iP r
1`.i1S1"1_.F. (< fiGii[L'•L-I_`t?,r.r,
:320 900t 057 f;Er-rn€_ c.Pr: W„25
215; 903? 057 f.'--rT L;_ G°RF. _ W
?'Cot?1 ?i?Gei.??+ FtR?n?.?n•;;a l13ar5
'.I
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 RILOT KNOB RD - 55122
651-681-4675 ?
New Construcfion Reauirements RemodeUReoair Reauhemenls
? 3 registered sHe surveys showing sq. tt. ot lot, sq. H. of house
and QII roofed areas (20% maximum lot coveraae allowed)
D 2 copies of plans (show beam 8 window sizes; poured fnd. design; etc.)
? 1 set of energy calculalions
? 3 eopies of hee preservation plan if lot platted afler 7/1/93
DATE: ?/// 7 h 9
DESCRIPTION OF WORK:
2 copfes of plan
1 set o( energy ealculaflons for healed addftlons
1 sRe survey for exferior addNfons & decks
CONSTRUCTION COST: ?? 7 , 7'3
STREET ADDRESS: l C9 5 7 /'? / 1 Jv-- L'/El (2
LOT: I?o BLOCK: SUBD./P.I.D. #: L`E'L
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name• R?eC'u?l7,yf7'Phone#:?'S( GS7'9S6Z
Last Firsr
Street Address: /D 57 06v77 ? C, 4 0/
City rl State:?? ? Zip: 2 3
Company: 1'6'W S- -rAf- - Phone #: 05?2
(area code)
Street Address: <X0 / License # -3leo
City State: 7
Company: Name:
Telephone #: area code ( )
Shee't Address: Registration #:
City
State:
Sewer 8 water Ilcensed plumber (reauired for new consiruction oniv):
Penalty applies when address change and lot change ts requested once permN is issued.
Zip:
I hereby acknowledge that I have read this appiicaNon, state that the intormation ts cortect, and agree to compiy wffh all applicabl
State of Minnesota Statutes and Clty of Eagan Ordinances.
Signature of Appllcanh
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert O 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* O 41 Wood Stove ? 45 Fire Repair
G 34 Repair ? 38 Dsmclish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning
Building
Variance
Permit Fee W _a 5
Surcharge ?.5v
Plan Review
License
MC/ES SAC ;.
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNN Permit
SNV Surcharge
Treatment PI,
Park Ded.
Trails Ded.
Other
Copies
rotal: ! ! 3, 5
Engineering
Valuation: $_
SAC Units
% SAC
1986 BIIILDING PERIrIT APPLICATIOH -
NOTE: ALL CONTRAClORS MUST BE LICENSED flITH THE CITY OF EAGAN
3INGLE FAlQLY DWELLINGS
INCLUDE 2 SETS OE PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MQLTIPLE DWELLINGS - RESIDENTIAL RENTAI. QIIITS FUR SALE IJDiITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVBY - CHECS WITH BLDG. DEPT.v
1 SET OF ENERGY CALCOLATIONS
COPIlMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
651000
To Be Used For: jly? ?F A VK)i Valuation: Date: 10 -3 - ?'f 6
Site Address /057 )?effle C'reek
Lot ? Block
Parcel/Sub 2 X 1 n . I s f Add-
Owner e-5
Address Pp /??? ?m5?9
City/Zip Code AUY/I,Sddle 55337
Phone ?V5-k - g0 /o l„
Contraetor SRr?e,
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/2ip Code
Phone df
Erect ? Occupaney R3
Remodel _ Zon;ng B•i
Repair _ Type of Const ?
Addition # of Stories
_
Move Length 41
_
Demolish Depth 4-1
_
Int.Impr. _ Sq Ft
Install _
APPEOV6LS
FEF.S
Assessments Permit 3 2.a.
Water/Sewer Sureharge ?
Police Plan Review t to Q-.
Fire SAC -
Engr Water Conn 51 COo,
Planner Water Meter (?3?=
Council Road Unit 2qC?•
Bldg Off/o- - Treatment P1 15Co.
APC Parks
Variance Copies
YOTAL IQ
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOHEO6JNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES i1ILL BE 6LLOWED ONCE BUILDING PERMIT IS ISSOED.
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UTILETY EASEMENT
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? !(E77-W CA-XK Ka4? ? I??er:by cartify that thin ia a t:-.Iz dnd cnr:YCt rapraentatian ot a tract of
land as shexn'and described herean.• As pr4Pnrsd by 'me-on thfs e;:? dsY Qf
l.?Ta?? • 19 ?6 . • -
Ninn. :lteS, No. /gpf5'r
.
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS l 4
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOA 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 ENGRGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: ,7f.c?C? o?Xlo? Valuation: Date:
Site Address 105`7 IIsAsCQal RL
Lot 16 Block ?2
? ,
Parcel/Sub ??ir. ??r? " ? ---_-
r
Owner ? G?14?WOr\
Address ??51 K?'rtlf. (y,a£,L ?
City/Zip Code S51'k3
Phone
Contractor
Address g3.5
City/Zip Code ?Sf,l/i ?? `C, ?JJs??? ?J
Phone
Arch./Engr.
Address
City/Zip Code
r? -1IF"rg,
/ 9Ozz, '
On site sewage_
MWCC system _
On site well _
City water _
PRV required _
Booster Piunp `
APPROVALS
Engr/Assess
Planner
Couneil
Bldg. Off.
Variance
Oceupancy
Zoning
Actual Const
Allowable
Ik of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit Z-l,s
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
Phone ll
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
•**X*****?**x?x?xxxxxxxxxxz?x?**?*10T?': PA1MEnTr OF M AT TIME OF
APPLscAMorr poFS Nar CONMMM
ApPROVAL OF PE[2NIIT.
INSPDCTION OF SE.WEt ANID/OR WTII2
IIMULMONS WIIZ, NOT SE SCHED--
UIED [7NrIL PII2MIT HAS BEEN
APPROVID.
- _. **********************t*******,r*****
P ease Print
l) PROPERTY ADDRESS: 1057 Kettle Creek Road LEGAL DESCRIPTION: Lot 16 Block 2 Lexin ton Square Addition
. Lot Block Subdivision or Tax Parcel ID )
IF EXISTING STRt'('iVRE, DATE C
PRFSENT ZONING/PROPOSID L'SE:
CONYMERCZAL/REPAIL/OFFICE
Q INIDL'STRIAL
? INSTIZLTMfIONAL/GOVERPA4,'NT
2) ?
IF ORIGZNAL P
rm
Q
?
?
LTILDING PERMIT ISSL'ANCE: '
(Nbn ear
R-l SINGLE FAMIILY
R-2 DDPLEX (TWo Lnits)
R-3 4l7WNF30USE (Three + Units) ( Units)
R-4 APARTMENT/CONIDC)MINIUM ( Units )
NAIAE= Northrup Mechanical Inc.
ADDRESS: 7640 146th Street•-
CITY, STATE, ZIP:_ Aople Vallev. MN 55124
PHONE:4 3 2-017 5
3) ?• --
N''ME:- Northrup Mechanical Inc.
ADDRESS: 7640 146th Street
CITY, STATE, ZIP: Apple Valley, MN 55124 .
PHONE: 432-0175 MASTIIt LICENSE# 2443M
riumwers L,icense:
Active
F?cpired
G._? Not recorded
Staff Initial
4)
NAME: Metro Home Builders
_ ADDRESS: PO Box 1049 CITY, STATE, ZIP: Burnsville, MN 55337
PHONE: 454-9383 •
5) '? a• • ?• : ? • o? ?? -
? CONNECPION TO CITY SEWER ? CO[VNF7CrION TO CITY WATER
d (YIIM
6) ?? ' • i- D PLEA.SE HOLD APPROVID PERMiT FOR PICK-LTP BY ONE OF ABOVE ------ -
L APPROVID PERMIT TO 1,0 3, 4, AHOVE .
(Circle one) 7) Stan Northrup 10/27/86
-,-.--
"FOR .CITY USE ONLY
PERMIT # ISSUED
/ d-o
-Pd w/Bldg. Permit
c
FEES:
,
SEWER PERMIT (INCLUDE SURCHARGE)
$ $ IZ) ' •S ? WATER PERMIT (INCLUDE SC'RCHARGE)
$ $ WRTER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ lo- ACCOONT DEPOSIT - SEWER
$ $ /Sel ACCOC'NT DEPOSIT - WATER
$ 4 G G- $ wAc
$ $ S
AC
$ $ TRC'NK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$
TOTAL
RE CEIPT RECEIPT
DOES OTILITY CONNE CTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
ED YES IF YES, THEN A" PERMIT FOR WORK T9ITHIN PUBLIC
Q
NO ROADWAY" MUST BE
DIVISION
LIST ISSUED BY THE ENGINEERING
S
CO
. A
A
NDITION.
SUBJ ECT TO THE FOL LOWING CONDITIONS:
TITLE:
DATE :
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN ?A i ? . 1?
`T 3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date + ! 4 I L) `/
Site Street Address Unit #
Property Owner Telephone # Ve51 ) ?? -'q /? 5 ?
Contractor v Telephone # (j051 }34_S 43 qb
Address _J.L ?O 49 h? `fcA. City 5tate)'?M, Zip.'5' !.1 3
The Applicant is: _ Owner " ntractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
Water Softener V Water Heater $ 15.00
vl-? replacement , additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ .50
Total $ /.J. D
I hereby apply for a Residential Plumbing 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 the plumbing codes; that I understand this is not a permif, buf only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
MAU ?i-?-e_ U ,5?n.,5
Applicant's Pnnted Name
Applicant's S?gnature
L5 (j
JUL 19 2004 ?
0
Use BLUE or BLACK Ink
RECEIVED I For Office Use I
I
t xr I
I Permit V I
Clity of Eajan MAY ~ 1 201 I
I Permit Fee:
'f~) , I
3830 Pilot Knob Road I I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I I
r Fax: (651) 675-5694 Staff:
- - - - - - - - - - - - - - - J
2013 RESIDENTIAL PLUM ING PERMIT APPLICATION
Date: Site Address:
Tenant: Suite
Resident/Owner Name: Pone: d
1= rnN
Address / City / Zip: I A~
71
Name: MILBERT COMPANY INC dba CULLIGAN WATER License 063031-WC
Address: 1801 50TH STREET EAST INVER GROVE HGTS
Contractor City:
x State: MN Zip; 55077 Phone: 651-451-2241
f
Contact: B- MILBERT Email:
p New Replacement -Repair -Rebuild -Modify Space Work in R.O.W.
Type of WorkF - -
Description of work:
RESIDENTIAL
Water Heater
later Softener
Lawn Irrigation RPZ / PVB)
Permit Type. -
Septic System Add Plumbing Fixtures Main / - Lower Level)
' - New Water Turnaround
r•
-Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.001awn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) , /j~
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.oopherstateonecall.oro
I hereby acknowledge that this information is complete and accurate; that the work will be In conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start 'thout a permit; that the work will be in
accordance with he approved plan In the case of work which requires a review and approv I o plan
I 11s
` X Lib-, el. IT x
Applicant's.P,rinted Name n Appli nt's Sign t
FOR OFFICE USE s f ~t . f Reviewed By z'Date_
Required Inspections z Under Ground `Rough`-1n Air Test Gas Test ° X final lr~
h.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125805
Date Issued:08/04/2014
Permit Category:ePermit
Site Address: 1057 Kettle Creek Rd
Lot:16 Block: 2 Addition: Lexington Square
PID:10-45075-02-160
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Kathleen M Flahavan
1057 Kettle Creek Rd
Eagan MN 55123
Highmark Exteriors
11237 Nicollet Ave S
Burnsville MN 55337
(952) 882-8904
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157539
Date Issued:08/26/2019
Permit Category:ePermit
Site Address: 1057 Kettle Creek Rd
Lot:16 Block: 2 Addition: Lexington Square
PID:10-45075-02-160
Use:
Description:
Sub Type:Windows/Doors
Work Type:Overhead Garage Door
Description:
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, 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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Kathleen M Flahavan
1057 Kettle Creek Rd
Eagan MN 55123
(612) 298-2048
Twin City Garage Door Co
5601 Boone Avenue North
Minneapolis MN 55428
(763) 533-3838
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA160799
Date Issued:04/15/2020
Permit Category:ePermit
Site Address: 1057 Kettle Creek Rd
Lot:16 Block: 2 Addition: Lexington Square
PID:10-45075-02-160
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 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 -
Kathleen M Flahavan
1057 Kettle Creek Rd
Eagan MN 55123
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature