1060 Kettle Creek RdPERMIT
City of Eagan Permit Type:Building
Permit Number:EA128501
Date Issued:11/17/2014
Permit Category:ePermit
Site Address: 1060 Kettle Creek Rd
Lot:4 Block: 3 Addition: Lexington Square
PID:10-45075-03-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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 by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Randolph Carlson
1060 Kettle Creek Rd
Eagan MN 55122
(651) 451-6835
Beissel Window & Siding Co
1635 Oakdale Ave
W St Paul MN 55118
(651) 451-6835
Applicant/Permitee: Signature Issued By: Signature
CITYOFEAGAN Remarks
Addition LEXINGTON SQUARE Lot 4 Blk 3 Parcel 10 45075 040 03
owner Street 1060 Kettle Creek Road State Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
? STREETSURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1 254 53 C009802 10-12-84
EWERLATERAL 1]3.(5 C010079 1-2$-$5
WATERMAIN 1986 68.33 4.56 15 68.33 C010079 1-28-85
WATER LATERAL
WATER AREA j 286.43 C010079 1-28-85
STORMSEW TRK 1986 501.29 3.42 1 501.29 C010079 1-28-85
STORMSEWLAT 1986 513.81 34.25 15 513.81 C010079 1-28-85
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Util.
WATER CONN. 500.00 It It
gUILDING PER. TOR6 if it
SAC n n
PARK
CITY OF EAGAN PERMIT TYPE: ' 'I' I 1 1' 1 W+
II 3830 Pilot Knob Road Permit Number. +' ">+' •'
Eagan, Minnesota 55122-1897 Date Issued: ?v
I (612) 681-4675
I SITE ADDRESS: ? ? N' r. °) '1 `" 0
' APPLICANT:
?? r,i
I i!. ,,.? t t 1 I I t i.lt[P.h: t{p i,r ?..t t!-Iti'd1iO6J 1M YilNt?
I i I 1a1 , 1I I N '.11I i?li:E ,1•, i i,m SE:
,
PERMIT SUBTYPE:
TYPE OF WORK:
A4 fY'RA1 Tt!N
'tiIAa1NEi i'v (RLM
INSPECTION DA • D•
If:tlh?;rri.
l;fltil{I! 1 P'J 'rl f f? ?! f?;'°.1
?.
Permit No. Permit Holder Dete Telephone N
ELECTRIC
PLUMBING
HVAC
InapecUon Dete Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAI
DECK FTG
DECK FINAL -
CITY OF EAGAN
3830 Pitot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 4548100
QUtLDING ?ERMIT
T. r. ...e #.. ;_ r, m;rcs/Gr {j, 000
siteAddren ...cr;EK RD
Lot ' Blxk ? ?/Sub. LEXINGTON :
Pxcel No.
? weme ? C:)":4FTRUCTZ;,
Addreas
CitY Phone .'i7/-'44 `;
? Name
Addreea
u
? City Phone
Name _
Address
Phone
10796
Receipt fj
^-•- ,_ ...
Erect El Occupency 3
Remodel ? Zoning
Repair ? Type of Contt.
Addition ? No. Stwies
Move ? Length
Demolfab ? Depth _
Int Impr. ? Sq. Ft.
Install ?
Aoororalf Fees
Assessment
Woter a Sew. Permit ? y 1. V U °
Surcharge U'0 !
Police Plan Review '- -} `• ?fl j
Fin SAC 325 . UQ
e,g. Wate? ?nrx
Plnnrnr Weter Meter ----?i?O O I
Council Road Unit ? "• -? - 00 ?
1 hereby ackrowladqe that I have nod this application ond stote thaf Bldg. Off. 7r. PI. 13 -??? i
the intormotion is correct and agree to comply wirh all opplicable
Stote of Minnesota Statutes and Ciry of Eayan Ordinanus. APC Parka
Var. Date
Slpnofum of Permittea
A Buildinq Permit Is issutd ro: -
oll work shall be dona in accardance with all applicable Stota of Minnmoto Statuta
Buiidirq Officiol "
- Copies
Totel .:?U
_ on tM oxpress conditfon thoi
Gfy o3 Eopan Ordirances.
Pwmh No. Pwmk HoWsr Dow Tslsphons ?k
Plumbinp rn
H.VA.C.
son«wr
liapsetion Dsta Insp. Othw
Footinys I .??-
Footlnya 11
Foundatlon ?f
Praming
noon?9 9?
Rouyh Plbp.
Rouyh Htg. ?.t i,.f
ln.ul.
Firoplace
Finel Htg.
?
Flnal Plbg. _ J
Final
cerVOcc. jd 11:
Wete? a?ibe Loeation:
We11
Sewsr
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
PHONE: 454-8100 ?
BUILDING PERMIT Receipt # °4= • % `
To be used for bECb Est. Value $1 s00() Date 3UAtE 6 , is89
Site Address 1060 iCE't'['LE CAEEK RD
Lot 6 Block 3 Sec?Sub. ?INOM SQU
P8fC21 N0. Occupancy
Zoning
W Name ???11 & ?RdH ?1.St31'S (ACtuap Consl
3 Address 1e60 KETTt.E GaESx xD (anowanie)
° -
City LA?+"? Phone 298-4477 # ot storles
a
Name Length
Depth
,
?¢ Address S.F.Tolal
? City Phone S.F. Footprinfs
U¢
Name On Site Sewage
On Site Well
W W
1-
? AddfBSS MWCCSystem
a W City Phone ciry water
PRV Required
I hereby acknowlege that I have read this application and state that the Boosier Pump
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Permitee APPROVALS
A Building Permit is issued to: R4&'NJ9 CR tAHE" CARLSM
on the express condition that all work shall be done in accordance with all Planner
Council
applicable State oi Minnesota Statutes and City of Eagan Ordinances. Bidg. Off.
Building Official Variance
OFFICE USE ONLY
149
FEES
Bldg. Permit Zg.?
Surcharge • 50
Plan Review
SAG Cily
SAC,MCWCC
Water Conn
Water Meter
Acct. Deposit
SM/ Permit
S,'W Surcharge
Treatment PI ?
Road Unit
Park Ded.
Copies
TOTAL 26.50
Permfl No. PermR Holder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspsctlon Date Insp. Comments
Footinge I
Foundation
Freming
Roofing
Rough PI6g.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Const. Meler Plbg. Inspector - Notify Plumber
Engr./Plen
Bldg. Final
Deck Ftg. G fir ?? ?' ? If ?/LO J
Deck Final
Well
Pr. Disp.
CITY 0,.° EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Eagan, MN 55121
Zonirq:
Ownsr:
Addrcn:
Site Address:
Plumber:
1.y.es m euawPy wu6 Ir. Gry ef epa¦
Ordinenees.
R..
Date of Insp.:
€aN OF °_'AGAN
30 Pilot Knob Road
0. Box 21199
gan, MN 55121
Addrcss:
No.:
_'A n
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
- No. of Units:
c«,nedia, aarge: --
AtcouM Deposif:
Parmit Faa:
Surdw?pe: Oa`.
Misc. Cho?pes:
Totol:
Dote Pold:
WATER SERVICE PERMIT
PERMIT NO.: ?-
DATE:
No. of Units: '
s.- .?6,^0'%
A
o-' -
eoder No.: 0,3 ,77 .5 // )I'lJ
OofN tO OOAIply Nfth HN City OE F.09011
?
56l'rb'J*, -x?
C?[?1"°t'`°" . .
IICCOUIit -DlpOSIY: ?
1 J . lJ i.J?..t
Permit Fee:
Surcharge:
Mlac. Choryes: JL. V pd
,
Total: ., .. ,tat'..?
-
Date Poid:
of Insp.: .s?
F7?-i- -
BUILDING PERMIT
To be used for DECK
CITY OF EAGAN N? 16582
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt # V "SJ T
Est.value $1,000 Date J1JNE 6 , 79 $9
Site Address 1060 KETTLE CREEK RD
Lot 4 Block 3 Sec/Sub. LEXINGTON SQUAR OFFICE USE ONLY
P3fC@I NO. Occupancy - FEES
Zoning -
W Name RAPIDOLPH & ICAMERON CARLSON (ACtuaq Const - Bldg. Permit 26.0
0
Address 1060 KETTI.E CREEK RD (Allowable) -
S
h
.
50
o City EAGAN Phone 298-4477 # oiscorie5 urc
arge
-
141 Plan Review
Length
p Name SAME Depth ? SAC
City
,
?Q Address S.F. Total ,
-
?
City Phone
S.F. Footprints SAC, MCWCC
-
Water Conn
On Site Sewage _
r
W w
Name
On Site Wetl
- Water Meter
P
_ y Address MWCC System -
? pccL Deposil
aw City Phone citywater -
SrW Permit
PRV Required -
I hereby acknowlege that I have read this application and state that the 0ooster Pump - SIW Surcharge
infortnation is correct and agree to comply with all appiicable State of
Minnesota Stawtes and C' o Eagan Ordinances. TreatmentPi
Signature Of Permitee APPROVALS Road Unit
A Building Permil is issued to: RANDOLPH OR KAME" CAKSM Planner - park Ded.
on the express condition that all work shall be done in accordance with all Cooncil -
applicable State of Minnesota StaWtes and City of Eagan Ordinances. gld9, pry, _ Copies
? Y6. 50
Building Official 1 17lfS?1?91 ? ? 1 I I Variance - TOTAL
4 °• CITY OF EAGAN N° 10 7 9 6
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # ?
Te be w"d fer SF DWG/GAR Est.Value $86,000 pate AUGUST 14 19 85
SiteAddreas 1060 KETTLE CREER RD Erect $] Occupancy R
Lot4.
Block--3 Sec/Sub LEXINGTON SQ Remodel ? Zoning 121
_
.
Percel No Repair ? Type of Const. V
. Adtlition ? No. Stories
? COLLEGE CITY
Name CONSTRUCTION Move ? Lenqth 42
;
Address P• O• $OX 309 Demolish ?
Int
Im
r
? Depth
S
F 42
U
City NORTHFIELDpnone .
p
.
507/645-6648 Install ? q.
t.
O Name S?1E ADWOVaIs , Fees
Ou
H
Address
City
Phane
Assessment _
Woter 8 Sew.
Police
Name Firo
Address
Erq.
City Phone Plonner
Council
PermiY .7 > > 1 . v v
Surcharge 43.00
Plan Review 195.50
snc 525.00
WaterConn. -5-QD,00
Water Meter ___fi3_'0 0
RoadUnit 280_00
I hereby atknowledge thot I hove r cd this opplicotion ond state that gldg.Off. $/13/85 Tr. PI. 132 . 00
the inlormation is correct and a ee to ly with oll applicable qpC Parks
$iynatuSmte ofrc of PMinnesoroermittea Statutes City of .Ordinanws.
Var. Date
C Copies
h Building Permit is issued to: OLLEGE CITY CONSTRUCTION ?? expRSS condiffon hor50
all work shnll be dona in accordance with all appliwk;I*,State of MinnisseM4tatutes ond City oF Eaqan Ordinonces.
Buildinq Officiol
y ? INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B u i t, o z tv G
3830 Pilot Knob Road Permit Number: 0 2 6 8 5 3
Eagan, Minnesota 55122- 1897 Date Issued: 12 / 0 8/ 9 6
(612) 681-4675
SITE ADDRESS: P• I• N. : 10-45075-040-03 APPLICANT:
LOT: 4 BLOCK: 3
1060 KETTLE GREEK RD BEISSEL W2NDQW & SIDING CO
LEXINGTON SQUARE (612) A51-6835
PERMIT SUBTYPE:
SF (MISC.)
TYPE OF WORK:
ALTERATION
DESCRIPTION SIDTNG & TRIM
INSPECTION
FRAMING .. .
ROUGH IN PLBG D•
ROUGH IN HTG FZNAL
? _ . _. _.. . . ? . .. ? ? ?
,..._
? ?-? = us
??
"
: , • . ?. ? i'? E
? ? s =
,
„? . ? ?
?
C1TY OF EAGAN
3830 Piiot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT C"OG38
SITE ADDRESS:
P.I.N.: 10-45075-040-03
DESCRIPTION:
8uildin
:!8 u d-in
Gensus
a.
,
.?
,
y"ft, ?
,
. '
a ?
1060 KETTLE CREEK RD
LOT: 4 BLQCK: 3
LEXSNGTON SQUflRE
SIDING & TRIM
Permit Type
?
Ao,,r.,k Type.
Code.
0434
PERMITTYPE: BUTLDTNG
Permit Number: 0 2 6 8 5 3
Date Issued: 12 / 0 8( 9 5
SF (MISC.)
ALTERATION
ALT. RESIDENTIAL
', g ? IrL i-'Rk 4? '8 a 63{?"?"
9 (? y }
ij
ba f g"a s ,..g .arrt F"a..
'??
a??°
REMARKS:
FEE SUMMARY:
VALUATTON
Base Fee
Surcharge
Total Fee
$137.25
$4.00
$141.25
$8,000
CONTRACTOR: - Applicant - s7. LIC.OWNER:
BEISSEL WZNDOW & SIDING CO 14516535 0006453 CRRLSON RANDY
153 E THOMPSON AVE 1960 KETTLE CREEK RD
W ST PAUL MN 55118 EAGAN MN
(612) 451-6835
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Gonstructfon Reouirement RemodeURepair Reauirements
? 3 iegisteied site wrveys ? 2 mpies of plan
? T copies of plans (indude beam & window sizes; poured Ind. design; etc.) ? 2 aite surveys (exterior additions & dedcs)
* I e^e?8Y calp+labon$ ? 1 energy ealalations for heated addHions
? 3 copies of tree preservation plan ff lot platted eRer 7/1/93
requfred: _ Yes _ No /r
DATE: j C-?-r, 9 5? CONSTRUCTION COST: YD ? D D?
DESCRIPTION OF WORK: GI s-t m" n u''-''' 4Y?v-n
STREET ADDRESS: o ?0 C r'e I,-1 - ?D 6t ?-
LOT `T" BLOCK y? SUBD./P.I.D. #: 4&cc 1,,g -?eag
? PROPERTY Name:_&LbCf ?kelSUAJ Phone #:
OWNER * FMs*
Street Address.
City: ZJ4/r7 /4? State: RIV Zip:
I
v. CONTRACTOR Company: 5? Yhone
Street Address: License #• ? G???
City:- Llk?57`-= c57'` /,?LL-t? State: JVAel Zip -
ARCHITECT/ Company: Phone #ENGINEER
? Name: Registration #•
Street Address-
City: State:
Sewer & water licensed plumber:
change are requested onoe permit is issued.
Zip:
Penalty appfies when address change and lot
I hereby acknowledge that I have read this appliption and state that the information is correct and agree to comply with all
applicable State of Minnesota Stetutes and City af Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree PreservaGon Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
a 01 Foundation o 06 Duplex a 11 Apt./Lodging o 16 Basement Finish
n 02 SF Dwelling o 07 4-plex o 12 Multi RepaidRem. o 17 Swim Pool
0 03 SF Addition a 08 8-plex o 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. 0 10 = plex ? 15 Deck
WORK TYPE
0 31 New o 33 Alterations o 36 Move
n 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. Ciry Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatmerrt PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
96 SAC
SAC Units
.
x
aooot 0 7
1985 BUILDING PERlIIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED HITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: ?P ?,?f Cnn.e_
? Valuation: ??Date:
Site Address: 1060 . &. ,? Cloo,? JE c?( OFFICE USE ONLY
Lot: 4y Block 3 Sect/Sub Erect ? Occupancy ?
Remodel Zoning
Parcel 0,?,???? Repair _ Type of Const ?
0 ? Enlarge # of Stories
Owner )cq,.i,?„ Move _ Length 4Z
Demolish Depth 4 2
Address / d ( p Q )/Jp ('r p Grade _ Sq Ft
City/Zip Code ca /V , Ai6? -- - ---------------------------------
Phone APPROYALS
Contraetor
?
?
'
??
? o,?
?
?,..? Assessments
Permit
? _
?' Water/Sewer Surcharge
Address goox ?D 2 Police Plan Review
Fire SAC
City/2ip Code ?a 4 Awy Engr Water Conn
Planner Water Meter
Phone s-. „ Council Road Unit
Bldg Off Parks
Arch./Engr. APC Treatment P1
Variance
Address
City/Zip
Phone 1I
TOTAL
1q5 5°
szs °"
soo _ °"
(03. °.-
280.-
1 "32 ^s
a?C)
?,;1?
2?t x 2I =(,.209 ? 5 4- = 31 6BG ,
s,?,l??O
? ? ?2 - Cp0 X ( ( ?.. ? ry ??? • ? .
4 Z '?e
l?-J x I?-v 24O ? 4( ` ??' 4G
950?2
, uBuwS^N
?¦MOlMmtRINO
rwc
¦
Certiiicate
l'wd 6 Xyweipel Ennnenuy OSwl Txruy o LeIW Surwyuy 0 Is,W PI./wiy
Bearing
Q Denotes
0 Denotes
Oenotes
? Denotes
?
.
/ ,: •
?
Mmn Olfke 671 8066
6876 ryqpwry No 66 N E
MmnWpolu. MinMpfa 55472
SouthOff¢e 9pa6670
Bumwdla, M1mrmod 5637I
or survey rorCOLLEGE C/TY rONST.
s 5hown are Assumed.
Iron Nsonurtent. .
10 `eFoundati on
Corner Stake. •
Existing Etevation.
Direction of Surface Drainage.
P$OPUSED ELEVATIONS
Top of Block
Lowest Floor
Ga rage F1oor A 93 °
KETTiE CR EfK eiPOA O
N ?S. DD
?% iV87°SD' 27"E fi9p?-
0
?--- ---- ------ -i
?-p--?i-- ?tp,,,----+-t
31 18 ?? I 10.5
P
'h
? ,
?
Q
o I '°?
?
?- - - -
i
.v )
•
.
°0 1 i ? ?
R
0 , ?
i `
\ N ,
I ?. Q
??p
a
IZ?p ? .
• c? I_-0_-=? _ ? -?
A2•0
U ? I
S? IS
I i
I ?
1 n I
UiCN1WA 19?7 r V7 / X?T )r t/-S/Yl/. I
I ?E,P ,QE??Oxv PLA / I
?
?_----------
---?
h ? ys.
qas ????°so? 2?"E
7S 00
LOT 4, SLOCK 3 GEX/NGTDA/ SQIIARE
DqKOTiq CoUA/T y, MIIf/NE"S4TA
I Mrelay wrNly tIrt thls 1s •trw rd Mr?e? r ??w??N?w ?f • wrv?r ol tb Yerwhriu N tw• G"w
N"ri?ed 1mwd, awd o{ flw Issatlow No1 {I?Iw? A?rNw? ??? ?11 ?? ewsreashweafe, Nany, Irom r w
wl/ Iod. As wrvyrod Mr ww thl, ?r o1 A.O. 10vi ??
? ?u???vj ??aN??r'?'p,_i?•
.?.- ---
/s5/ Sg5,?4Z
w? rWw-xAp. I??, nlglll r{BI11o0
EX7EaI0R ENVELOPE AVERAGE "U" C011PUTATION N-) Rvt rn sn.j: t f ,-
? ?ce ownER
' SITE ADDRESS Lot 4 Block 9 Lexinzton Sguare 1060 Kettle Creek Rd.
' GONTRACTQR (?Dh4 DATE _ _ DHONE
Qetermiae working square footage of each. .
1.. Total exp4sed, wall area'....•• 7_38-1.7-5 sq. ft: x_j,q_ ° 53 /1
• 2. Total roof/ceiling area ...... I,17 3.oo sq. ft. x?,,? • b q Z- ,
• TOtdl exposed wall area above floor A -
a. Total wall wlndow area ........................... ? 5,0IZ
b. 7ota1 door area ................................. ?, ,37.7?..
c. Total sliding glass door area .............••••,. 4?..?.vo ? • ? d. Total fireplace wall area ........................ ? $ 'Z? •
10?)...:......:. ,
e. Total wall framing area (average -6
t. Total net wall area above floor ................. iq o 2.Biz-
l.?-,? , 9 L 1 .
y. Tatal, rim joist area ............................ ,
Total'ekpo5ed faundation area
h. Total foundation window area.....................
1. Toal net foundatlon drea above grade ........:...
1 , Oetermine "ll" value of each wall segment.
• ? .
I615,01z x"u" 34b =? 57.09A-
?____----
•_. 4 .
X"U" ? I'z 13'
? ?• 40.oo 'x NU" •346 = 13.?q-'
, -
.
d. ? x MUN - , . - -
..
.e.2-13 9.,5 x"U" .09 z, v 21-165.
fo 1qp 1317- z MUM 0k3 _° 8I .'a Zo
q, Ib7.ct ZL x"u" o¢I R b.___g8?
__-__-------
? ? A MUN _ R • . -- •
•
i. q8.?38Z X MU" OT o 7.8 I .
Total ° ? •?
3 .....................................
It ltem 03 is the same asv or less than item O1s you have met the intent ,
of SBC 6006(c)2. . ..
.
n
. ,
I
Total..exposed roof/ceiling area =
.
J. Total skyl9ght area ............... :............
k. 7ota1 roof/ceiling framing area (average lOx)...I i o
1. 7otal net insulated roof/ceiling area..:........_ to ?5.70
petertnine `U" value for each roof/ceiling segment.
, . I Z Mull „ .
V•
k. ?17.3o xM?" -7 4- ,• Zo.4i0
.
1; 1055."70 X"U" . 022 . Z3.z2?
Total s [?b3?
4 ..................................
If total oP 04 is the same as, or less than W12. you have met the 9ntent of
, SBC,6006(c)1. .
' Alternate Building Envelope Oesign
76 utilize the total envelope system mzthod, the values established by the'
swn of ltems 03 and #4 shal,l not be greater than the sum af items E'l and :2.
+ 2. ° _--r-----
3. +q e . .
•
•? -?-•--..._. __w _ .
' ? --- ------.._-____. .
? .. ?. ---•-- ._
,
? ` •??? w? " "_
VIIlNDOW ARg-A :
TYPli OF W1 NVO1N i
6111 11 INSuc. 6055
7'l1E \NiNDOµJ V1lITS /./AvC Birn/ nSTtP FOQ lR-VALKf? T14111( AitG A? 1.41110
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1989 HDILDIBG PERMIT APPLIC9TION
CITY OF EAGAN
1435?.?
lHJLTIPLE DWELLINGS
2 3ETS OF PLANS
REGISTfiRED SITE 30RVET3 -
(CHECB 1iIT'H BLDG DIV.)
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NOTEs ADDAESSES FOA CORHER LOTS - CONTRtCTOR/80ME01iASEi MQ3T DESIGNAlE iiHICH ADDRBSS
IS DESIREA. NO CH9tiGFS iiILL BE ALLOiiED OtICE BOII.DIBG PERMIT IS ISSOED.,
SEidER & IiATER PERMIT FEES AND ACCOUNT DEPQSIT FSE9 WILL Bfi 3NCLIJDED iTITH THE BUILDIN(3
PERMIT FEE. PAOCESSINC TIME FOR 3EWEA AHD iIATER PERMITS IS TWO DAYS ONCE A PERMIT HAS
BEEN CONIPLETED INDICATIAG A LICEN3ED PLI1lBER.
PENALTY APPLZFS F7HEN: PERMIT IS NOT PAID FOR I@] SAME NfONTH IT IS REQIIESTED.
LOT CHANGE IS REQUESTED ONCE PERMIT IS YSSIIED.
? E'iG _ i; ? 1bd91..
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?etual Const
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Depth /T
S.F. Total
Footprint S.F.
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Booster Pump
1LPPROVAL3
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6 ?
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2 SETS OF ARCHIiECTURAL
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i SET OF SPECIFICATIONS
1 3E! OF ENEBGY CgI.CS.
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Bldg. Permit -?6. 00
Sureharge .SZs
Plan Review
SAC, City
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liater Conn
Water Meter
acc't. 'uepoaiL
S/W Permit
S/il Sureharge
Treatment P1.
Road Unit
Park Ded.
Copies
StJBTOTAL
Penalty
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o Denotes Iron Monument.
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PQQPOSED ELEVATIONS
Top of Block
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APDA D
Jol Publlahod: Ail 9iqhte Rasarvod
2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
?Cl) p., C) ? 3830 PILOT
651-681-46 5. 55122
1
New Consln,efion RaWremenls
> s re"rea die aurvreya anowtr,g ay. n a ld, sa. n. a nouae
antl qal roofed areas (2076 maAmum bt coveroae allowed]
? 2 oopiea ot plans (ahow beam & window sizaa: Poured fid. deslyn; efc.)
? 1 set o(eneryy txaACxdalions
? 3 Copies of hee pretervaflon plan H lot plqNed aRer 711/93
DATE: ?3
DESCRIPTION OF WORK:
STREET ADDRESS: ) U&O
? f
Name: Phone #:
st Flrs1
LOT: t BLOCK: ? SUBD./P.I.D. #: L61-' 4?7
PROPERTY
OWNER
C3o1i1L71?'IOE
ARCHITECT/
ENGINEER
Street Address:-1060 &OC 6{"4
e/
CNy , State:???/"
v
Zip: ?2
Company: C, ? 6
r'N lh,[ Phone #: ? ? <
? (area code)
Street Addr : ' '?1??1/? ?
cny (,? vA state:Aw
ucense # Zd Exp• 3 3/
tip: 7 ????
Company: Name:
Telephone #: (
157, a5
? - /o. c36
2 Copfes of plan
t set oi eriergy cdeulafiona fOr heated addiflons
1 site wrvey 1or extedor oddlttona R decka
V"-,?r
CONSTRUCiIONCOST: 6?76?y?
Street Addresa: Regishaiion #:
City
Sewer/water licensed plumber (if installino sewaNwaterl:
Phone #:
Zip:
I hereby ocknowledfle Ihat I Iwve read fhis application, sFate fhat fhe infortrwiion is cortect, and agree to comply wNh a9 opplicoble State
of Ibiinnesota Statutes and City of Eagan Ordinances. 0 It/
Signature ot ApplicanY. x?
OFFICE USE ONLY
CeRificates of Survey Received _ Yes _ No
Sfate:
Tree Preservation Plan Received _ Yes _ No - Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex O 21 Porch (3-sea.)
? 02 SF Dwelling 13 08 06-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex ? 18 Deck 0 23 Porch (screened)
? 04 02-plex ? 10 08-plex 0 19 Lower Level p 24 StoRn Damage
? 05 03-plex ? 11 10-plex Plbg Y or_ N 0 25 Miscellaneous
O 06 04-plex ? 12 12-Plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
0 31 New 0 36 Move Bldg. ? 43 Reroof
0 32 Addition O 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration 13 38 Demolish (Interior) ? 45 Fire Repair
13 34 Repair 0 42 Demolish (Foundation) ? 46 Windows/Doors
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories sq• n•
No. of Units Length sq. ft.
No. of Buifdings 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. R. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge T0
Plan Review
License
MClES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Tota1: I S `l . ? S
? 31 Ext. Alt - Multi
O 33 Ext. Alt - SF
O 36 Multi
SAC Units
% SAC
.ti
(? f 7°ll (!I:' ?::.I•1f?i-;?+
...?
?
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32:10 9r:(?:!. Wt;0 Fi:'I C'!_ C;!?I': R ,.3:3., 25
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lY' O y? RESIDENTIAL BiJII.,DING
Permit Application
City Of Eagau
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reouiremenfs RemodeVRenair Reauirements Office Use Onlv
3 registered site surveys showing sq. ft. of lot sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd
(20% maximum lot coverage allowed) 1 set of Energy Cakulations for heated additions Tree Pres Plan Recd
2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd
1 set of Energy CalculaGons AddiUon - indicate 'rf on-site septic system _ On-site Sep6c System
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date 7/ d3 e?
Construction Cost
Site Address Unit/Ste #
.- ?•-??v2
Description of Work
Multi-Family Bldg _ Y N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ?4L Telephone # ( )
.
Contractor get, \O-
Address City =j? /
State ZipS ?/l Telephone # .(lo $-) 4;6-7 o ?.?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Ene?gy Code Category
• Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Telephone # (
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
`", Ll?
?
I hereby apply for a Residential Building Permit and acknowledge ?at the information is ?omplete and accurate;
that the work will be in conformance with the ordinances and cod?, `!okthe=C-ity=af'Eagan and the State of MN
Statutes; 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. c1;;7? „ ,
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 i 6-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plhg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg ) - Give PCA handout to applicant
Valuation Occupancy MClES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinallNo C.O.
_ Footings (addition) Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & W ater _ F inal _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement)
_ Insulation _
_ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
7?s?00
2006 RESIDENTIAL BUILDING pERuT ArrLlcaTioN
City Of Eagan
3830 Pilot Knob Road, Eagau MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements
3 registe2d site surveys showing sq. ft. of lot, sq. ff. of house; and all rooied areas
(20% maximum lot coverage allowed)
1 Soils Report if proposed building is to be placed on disturbed soil
2 copies of plan showing beam & window sizes; poured found design, etc.
1 setof Energy Calculalions
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selec6on sheet (buildings with 3 or less un'rts)
Minnegasco mechanical ventilafion form
Remodellfteoair Reauirements
2 copies of plan showing footings, beams, joists
1 set of Energy Calculations for heated adddions
1 site survey for additions & decks
Addifion - indicafe if on-sfte sepNc system
Office Use OnN
CertMSufveyRecd ''; _Y _N
Soils Repo[t _Y _ N
7ree Pres Plan Recd ' _Y _'N.
TreePres,Required _Y _N
Dn-site5eptie5ystem _N
Date Construcfion Cost / ?
Site Address ?tJ elC?
. UniUSte #
Description of ork
? IIL
Cl?? 4 J?e 1,
Multi-Family Bidg _ Y N Fireplace(s) _ 0 _ 1 _ 2
Property Owner s o?x/ Telephone # ( )
Contractor ' . .
Address City
State ?F? Zip Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Ca4egory 1 Worksheet • New Energy Code Worksheet
submission type) Submitted Submitted
• Energy Emelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
- Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone # (
I hereby apply for a Residential Building 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 State of MN
Statutes; 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 accardance with the approved plan in the case of work which requires a review and
approval of plans. -?
,
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebolperola) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alieration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 ReplBCement •Demolition (Entire Sldg) - Give PCAi handout to applicant
D@SCCIpt1011: Water Damage _ Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. - PRV
# of Bldgs Length Fire Sprinklered '
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings (deck) _ FinaUC.O.
_ Footings (addition) _ FinaUNo C.O.
FoundaCion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final
_ Frazning _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
- ------------
I FOr Off, ce Use' (
I +
? Permit #:
I ?
I Permit Fee: ?t7 • ?
I ?
? Date Received: ? I
I +
I ? +
? Staff:
L -----------------
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: /?(a?J kCl ZTGJ LLL e- 96 . [ In g A YJ -, M 1
Tenant: AlI,(9AY ;691-5f V Suite #: _
RE5IDENT ! OWNER Name: 9QUIL/ ll&&L Mft/ Phone: (y 5-/ -' q6-?2 - j
Address / City / Zip: l??I?O A?7-T? ???K 1'?O ??l?ti ??v ??1z3
CONTRACTOR Name: License #:
Address:
City: State: Zip:
Phone: Contact Person:
TYPE OF WORK _ New _/ ,Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
? RPZ PVB) ? Main _ Lower Level)
Septic System _ Water Turnaround
New
Abandonment
RESlDEAlT1AL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 LBwn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
`Water Turnaround (add $136.00 if a 5!8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
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 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.
x_? f?cl\f ? f9 ?? ?• ? r ? S?'Y? xApplicanfs Printe Name ApplicanYs Signa re
FOR OFFICE USE: Reviewed By. Date:
Required'Inspections: Under Ground Rough-ln ? Air Test:, -'-_ Gas Test Final
Use BLUE or BLACK ink
1-----------------,
I For Office Use i
i
1
I i Permit /y -
Ny -l
of Ealan I
3830 Pilot Knob Road RECEIVED Permit Fee: U dC;'
Eagan MN 55122 I
Phone: (651) 675.5675 MAR 1 91011 Date Receives: i
Fax: (851) 675-5694 1 staff: I
2010 MECHANICAL ANIC//AL PERMIT Aff PPLIPATION
f1 d C` ~~}~r~ ~/Y~
Date: 3/ Site Address: / C "-e- d
Tenant: ZZr7e GZ r7s~, Suite~
RESIDENT I OWNER Name: _ = n T , c n Phone: 9S1-,;?66 - 7C/3 7
ti
Address / city / zip: lr,,-Ilk ct- J la SS/, 3
CONTRACTOR Name: 'z ~,,,t , S ~t M $License it MC'1 X3 8 35
Address: l d2 U r~' S~ Cry: / S' , y► S
State: M 0_ zip: S563~ Phone: 6-51- "137 - c3,3of
,via n
Contact: Ma n ►s /a C+amter'r C4)'\
m N Email: , n e. @h
I
TYPE OF WORK New ~ Repls'oernent Additional Alteration Demolition
Description of work: 1 2elq_ ~a
NOTE: Rapt' mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector fir information on permitted screening methods.
PERMIT TYPE v Ri DENTIAL COMMERCIAL
Fumar:e r-~. New Construction Interior Improvement
Air Conditioner install piping Processed
AirExcfianger Gas Exterior MAC Unit
Heat Pump Under / Above ground Tank C_ Install Remove)
..Other When instailWWrernoving tank(s), call for Inspection by Fire
Marshal and Plumbi Inspector
RESIDEN17AL FEES: 610---
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$95.00 Fie repair (replace burned out appliances, ductwork, eta) (Includes $5.00 State Surcharge) $ TOTAL FEE
COMMEMAL FEES.
$75.40 underground tank installationlremoval OR Contract Value X1%
$W.00 M MM (includes State Surcharge)
Permit Fee
- If the Pentair ~ is two than $1p,010, surcharge is $ 5.00
- if the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 permit Fee Surcharge
(Le. a $10,010411,010 Permit Fee requlres.a $ 5.50 sure hangs)
TOTAL. FEE
CA." .VMRE (Xj„ MG. can Gaptw state one calf at {1151) 461,41M for protection against vndoMroun¢ utility damage. Cali 48 hours
before you intend to dig to receive locates of underground utilities. www.nopherstatoonecall.org
hereby acknowledge that this information is complete and aczcurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that 1 understand this Is not a pern►R, but only an application for a permit, and work is not to start without a permit; that 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 Appllcaars Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough In -Air Test -Gas Service Test _In-floor Heat -,Final
Exterior HVAC Screening Ins lion
To: 6516755694 From: 7637108061 _ _ . . __ _ _3-09-17 1:52pm _p, 2 of 4
Use BLUE or BLACK Ink
r
For Office Use I
CityofEaii
Permit Fee: /0-_.:.>
3830 Pilbt Knob Road
Eagan MN 55122 Date Received:
Phone:(651)675-5675
Fax:(651)675-5694 Staff:
.,
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3/8/17 Site Address: 1060 Kettle Creek RD, Eagan 55123
Unit#:
6
l Name: Randolph Carlson Phone: 651-452-5575
1 Resident/
• OwnerAddress I city zip:
I 1060 Kettle Creek RD, Eagan 55123 F
I Applicant is: Owner X Contractor
Description of work: Replace existing overhead garage door on attached garage I
. Type of Work t
3 Construction Cost $1200.00 x
Multi-Family Building:(Yes I No )
1 Company: AA Garage Door LLC
Contact Deb Nyasende I
I
Address: 562 Lundy Lane Hudson
Contractor city: ,
State: WI Zip: 54016 Phone: 651-289-7121 Email: dave@aagaragedoor.corn
NAT-671642 R
License#: Lead Certificate#: _ r
r# lithe project is exempt from lead certification,please explain why: t
I 1
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
E
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
1Yes No If yes,date and address of master plan:
I
Licensed Plumber: Phone: l
i
Mechanical Contractor: Phone: s.
f i
Sewer&Water Contractor: Phone: !
Fire Suppression Contractor: Phone: E
NOTE:Plans and supporting documents that you submit are considered to be public information.. Portions of
1._________the information maybe classified as non-public if you provide specific reasons that would permit the City to
conclude that ther are trade secrets.
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,gooherstateonecall.orq
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 nol 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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x Deborah Nyasende x Plilvt,k L.ggial-Y
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA162507
Date Issued:07/16/2020
Permit Category:ePermit
Site Address: 1060 Kettle Creek Rd
Lot:4 Block: 3 Addition: Lexington Square
PID:10-45075-03-040
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Randolph Carlson
1060 Kettle Creek Rd
Eagan MN 55122
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA167180
Date Issued:03/01/2021
Permit Category:ePermit
Site Address: 1060 Kettle Creek Rd
Lot:4 Block: 3 Addition: Lexington Square
PID:10-45075-03-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Randolph & Kameron Carlson
1060 Kettle Creek Rd
Saint Paul MN 55123--151
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature