1072 Kettle Creek RdCASH RECEIPT
C1TY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19 '
necEIvic
Fwqn
AMOUNT $ - )
4 OOLlARS
160
F]CASH E]GHECK
FOR
FUNO CODE qtAOUNT
Thank You
5290
BY
White-Payers CoDY
Yellow-Posting CopV
Pink-File Copy
CITY OF EAGAN
Addition LEXINGTON SQUARE
Owner
y
Remarks y
_? lr
Lot 1 Bik 3 Parcel 10 45075 010 03
Street ? -" ?" State EaRan, MN 55123
1072 Kettle Creek Road
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1985 254.53 16.97 15 254.53 C009732 10-12-84
SEWERLATERAL ben trk 1986 173.6 11.58 15 • --
WATERMAIN 1986 68.3 4.5 i 68.33 C010076 1-28-85
WATER LATERAL
WATER AREA 286.43 C010076 1-28-85
STOFMSEW TRK 1986 501.2 33.42 15 501.29 C010076 1-28-85
STORMSEWLAT 7 1986 513.8 34.25 15 513.81 C010076 1-28-85
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 280.00 52326 6/3/85
WATER CONN. 500.00 It 11
6UILDING PER. 10324 is I I
SAC ?
PARK
CASH RECEIPT
,
CITY OF EAGAN " ?
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19 y? -?+P
R6CFIROM'
AMOUNT
& DOLLARS
?ao
? CA3H Q CHECK ?
S ?
r
?
FOR
y
? ? G.? ' .:i? f_l .f".?ll?? ?'..?.as( . _ c .C• ? ? ?.L? ' ?/ '
i
-1 .? ?• ?'. ?l' '? ' !
F ND CODE AeAOUNT
3 - ..
.; G
'
- 4.
1 j i
Thank You
0
BY
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White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Cities Dijzital
itv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
Reaipt pAECHANICAL PERMIT Psrmit No. '
CITY OF fAGAN
Fw
F
ll in numbened specst S/C
?
YAB or Print /egibly T
ot
t. Date 2. Installation Cost
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor Phone
6. Address
7. City State ' Zip
8. Building Type: Residential ? Commercial ? Insti tutional ?
9. Work Description: New 1?1 Add ? Alter ? Repair ?
10. Describe Fuel Type '
11.
t 12.
No. Fauiamen*_ BTU - M. Ea.
Forced Air No. Eauiament CFM
Ai
H
Mfg, _ r
andling:
Boilers
-
Mfg. - Mech. Exhaust
Unit Heater
_ Mfg. Other
Air Cond.
Mfg.
Gas, Pipinq Outleu
I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
,
,
Reeeipt PLUMBING PERMIT Permit No.
- CITY OF EAGAN
Fw
fi!/ in numbered spaces S/C
TYpe or Print legidy Tot
1. Date 2, Installation Cost
c <-,
3. Job Addresr Lot Blk. Troct
?
4. Owner
5. Contractor - • Phone 6. Address
7. City State - Zip
8. Building Type: Residential El Commercial ? Institutional ?
9. Work Description: New O Add ? Alter ? Repair ?
10. Describe
11.
No, Fixtures
Water Closet No. Fixtures
i
fi
C
l/D
ld
_ Bath tubs esspoo
ra
n
e
Se
ti
T
k
Lavatory p
c
an
f
S
_
Shower o
tner
W
ll
_ Kitchen Sink e
Urinal/Bidet h
O
_
Laundry Tray er
t
Floor Droins
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply witti all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN - ' ? ? ? ?
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?' ""
PHONE:454-8100 - % `
BUILDING PERMIT Re«+vr
Site Addrest i'; E?.i?. ?iUAn Erect Occupancy '
t c4TNrTn
Lot Bixk Sec{Sub Remodel
ar an>>.ue- Zoning
?•?
. Repair ? Type of Const.
Parcel No.
Addition
? .
No. Stories
Move ? Length .
Name T"` D
li
h ?
= emo
s Depth
Address ` 7?
?' % Int Im
c ? S
F
? , p Q•
t.
City ` Phone Instell ?
c --•••'•-•-
o Name
t? A?? Assessment Permit -
U
1-
City Phone Woter 3 Sew. Surcherge
•;'? 1;
Polica Plan Review +...?w
Name Fin SAC ?w
?? Addresa Erq. WaterConn. ?
WW City Phone Planner WaterMeter ?
h I hereby ockrowledgs ihat I haw road this applicction and stote thaf
the inlormation is corred and ogree to tompLy with all applicoble Council
Bldg. Off. - i,E? ,.? Road Unit
Tc PI.?.?
" StuN of Minnewto Stotutes ond City of Eayan Ordinanus. A? parka
Var. Date Copies
. Sipnoturo of Permittae
r
'
Total ,?
?
A Buildinq Permit Is issued to: (
;','?
i?.?. ?:?= '. ';??'• on tM expross [on
Citlon thot
oll work sholl ba donw in xcordonce with oll opplioobl* Stata of Minn ewto Statutes ond City oi Ecpan Ordinances.
Buildirq Officiol
Permit No. Pamk Holde? DoN TeIephone i
Plumbiop 5l? i Q 7 3-57/
HMA.C. 56
eactdr, ?O lI /U, 0 u
vs3G
v
s
..
??
Iropsetion Dan Inap. Other
Footings 1 ??
Footings II
Foundatlon
Framing
Roofing
Rouyh Plbq. .Z`qS
Rouyh Htg.
InsuL ??I a ?
Flroplaee
Final Htg.
Flnal Plby.
Flnal
Csrt/Occ.
WMSr Dowia Loeatfon:
Well
Sewer
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road WATER SERVIC E PERMIT
P. O. Box 21199 PERMIT NO.:
Eagan, k!N 55127 DATE
Zoniny: No. of Units:
Owner.
Addross:
Site Addrcss: ' L` r Y ncz
Plumber:
Metar No.: Connection Chorge: ` -
Size: Acwunt Deposit:
Reader No.: Permit Fee:
?"FM ft C0MPIY Nuh Ny City OF Em9OA 5U?CflGfgl:
Adieenar. Misc. Chorpes: _
TotaL• - : ,: :
BY Date Poid:
Dote of Insp.: 1,,,,, •
a.
?
- ?
3830 Pilot Knob Road SEWER SERVICE PERMIT
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Z?i?: No. of Unih:
Uvnar:
Address:
Site Address:
Plumber: rC
,: -1 •, .F .,, r -
?ol" h eoanply WI& tM Gry, ef Leosm
AdinenaN.
By
Date of Insp,;
lroP.:
Connectlon CJhorpa: ' ' '
ACCOurM Deposlt: _
Pem+lt Fas:
Surcharpe:
Misc. Chorpm
Totol:
Dota Pald:
iTY OF EAGAN
3830 Pilot Knob Rosd YypTER SERVICE PERMIT
P. O. Box 21199 PERMIT NO.: '
Eagan, MN 55721 DATE: ?
Zontng: ' i No. of Units: ti
Owner: !.oLt_l.iind Co
Addross:
SlM Addrcss: --t,- Ir. _ ;..n.:i _ ? ek-'ngYon SQuare
Plumber.
Mstsr Connectian Chorpe:
Slu: Acooune Deposlr:
??
Reader •• ?? ePertnit Fee:
? Mm to aew of FiY?r ';J; F?charge: ?'? ? P`'
,
O.diwoner. QIF, "" ?Isc. C?wrpes: 13L ?+. pd
? 7 , S T'o?tol: 63 0Q-acl er
e '
Y Paid:
Date Insp.: A
This request void 6y 1? ( ^
?2nYs?{r29 / L- i 63
4 x S4
Wla 1$45-
lp .o 0 °r
ReQUest Da,te
/ Fire No. Roug -in I?pectin
?9 red?
?RcadY N? 7 Bdotily I?pec-
?y Ycs ?No ? WhL^ ?adY
? Licensed Electrical Con[ractor 1 hereby request inspection o1 a6ore
? Owner eleclrical wmk installed at:
Street AAdress. eox or flnute
a? City
a,-Ij
ecvon o. Townshi Name or No. . Range No. Counsy
Occupan PRINTI Plw No_ .
Pow Supplier Address
Elec ical Contractor (Compan me) Coo7racmr's Licr?nse Wo.
Maili? gi Address (Contracmr or Owner Makinp Instailation)
Authorized S? ture (Contract ner Making Installation) Phone N?sri6er
?6;-
INITINESOT TE BOAHD OF ELECTRICITY 7HI5 INSPEGTION pEQUEST MILL NOT
Griggs-Mi y 81dg. - Hoom N-791 . BE ACGEPfED Br iHE STA7E BOAID
1821 University Ave., St. Paul, MN 55104 UNLE55 PROPER INSPECTIONFEE 1S
Phone (612) 297-2171 _ ENCLOSED_
IEQUEST FOR Q.ECTRICAL 111SPECTION
JUMW?
? , See instruetions tor complet ing this (orm on back of vellow coPY-
-o 4B38 E"} " Below Work Covere'? by This Request ?i
Ran d ReD- TYPe ol BuilAinp Appliantea Mired ' EquiOment Wired
Home Range Temporery Service
Duplex Water Heater Lighting Fixtures
Apt_ Building Dryer Elecvic Heatin
Cortmiercial Bldg_ Fumace Silo Unloader
Irtdustrial Bldg_ Air Conditioner Bulk Milk Tank
Ferm Other Speci Otherl5uecifY)
[her SVecifV her Other
Faa
• ServiceEntram J! Fee Feeders/Subfeeders # Pee Circuits
U to 200 0 to 30 A 0 to 30 Ani s
Above 200
d
p 31 to 100 Amps 09 31 to 100 Amps
?
Swimming Po Above 100_Amps Above 100_ARPs
Transfonners frrigation 8ocuns Q Partial-'Oth...-`??
Signs speciai mspecuoo qi . O?D TOT
RerrBrks r
Rough-;,, r
Date
1
the El?cirir
at
.
,
Inspettor. hereby
Ce?thatehe ahove
Final f Da1e pe[tion has been
I ? mede.
r
teis'eo?•aa lemonmsmom
This reyuest void
m ?5 3
on?^ .. ' ( I.3
Request Da e Fire No. -in 1 .tion
ired? [311eadY N Will Noufv. InsPec-
? Yes No tor When qeady
`?^-f ?
Gcensed Electrical Contractar `
? 1 hereby requBSt inspection of a ove
? Owner electrical work imTalled et:
Street ddress, ?Box w Rout Citv
tion o. Township N me or No_ Nange No_ Coua
Occupa IPFIINTI Phone No. .
Po r: lip Address
Elect lca1 Contracmr (Compam Na
? Coniracmr's License No.
--3 ?
iss (Con[ractor w?^
o er Making Imtaila[ion)
g re(Contr actw? MLakiog I?tallation) Phone Num6er
? i
MINNESOT 'fE gpppp OF ELEC7RICITY THIS INSPECTION NEQUEST WILL NOT
Griygs r Bldg. - Room N-791 eE ACCEPTED BY THE STp7E BOARD
7821 Univarsify Ave_, St_ Peul, YN 55104 UNLESS PROPER INSPECTION FEE IS
Phorre 46121297Z111 ENCLOSED.
, ... .
:
. •
.
=2%011? ALL CONTRACTORS MUST BE LIl:Etv^SED WITH
THE CITY OF EAGAN
INCLUDE 19 SETS OF PLANS,
? P Q CERTIFICATESPF SURVEY
Q SET OF ENERGY CALCULATIONS
? ? 3 a m
To Be Used For: Valuation:_ '??6- Date: 5 ZQ'-6S
Site Address: 107,Z ?.t?-,Pp ?iroe?• r? • •
Lot: / Block: 3 Sect/Sub: r Erect: ? Occupancy: ?-3
Parcel #= Remodel:
? Zoning: 12-I
Repair: Type Of Const: ?
Owner: 7%L Enlarge: # Stories:
Move: Length: 440
Address: ,/,?? ?z2? j g3 Demolish : Depth: 44_
C't /Z' C d ? Grade: Sq. Ft.:
i y i p o e•. ?i- 5 S?lo ?f
Phone # : 7 Ere2-f K Lf- SL
Contractor:
Address:,Z?,,?
City/Zip Code:z_,,1__-_?
Phone #: ?
Arch./Eng:
Address: ,
City/Zip Code: 0 -
PhnnafF -
APPRGVALS
Assessments: Permit:
3 22. ^
Water/Sewer: Surcharge: 31.$O
Police: Plan Rev. : ? c, 1 . _-°
Fire: SAC: 515, e'
Engr.: Water Conn: 500.?,9
Planner: Water Meter el3.9!
Council: Road Unit: ZBO.=°
Bldg. Off.: S? f °-?S•7F?-
APC:
Variance: 1 l/
. 1??? f c? " Zog X 5-4- ' I I 2 3 2
I Z x 2?-' 4( ' I) goS
IZ7-- l? l-(-( ' - 7 °o7
22K Z2 - ???r? ?( = s324
_____----
?Z372
t
,
?
,
,
CITY OF EAGAN N! 10 3 2 4
3830 Pilot Krrob Road, P.O. Box 21•199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
Te be wed ler SF nW(:/GAR Est. Volue (,A _ nnn Dore .T1INF 3 , 19_?.L
Site Addresa 1072 KETTLE CREEK ROAD Erect ? Occupancy R-3
i.
Lot 1 Black 3 Sec/Sub F.XTNC:T(1N SQifARF. Remodel ? Zoning R_1
. Repair ? Type of Const.
?
Paroel No. Addition ? No. Staries
Move ? Length 46
a Name ROTTLiIND CO _
Z T NC _
? Demolish ? Depth 44
? Address P-n. ROX 383 Int Impc ? Sq. Ft.
City OSSEO Phone 780_1 RL$ Install ?
SAMR
o Apyrovals Fees
Name
?
Address Assessment Permit 22 w
?
1- City Phone
?
Water & Sew. Surcharge 31,5
Police Plan Review 1 fil _(1!1
?W Name Fire SAC 575_nn
?? Address Erq. Water Conn. S(1l1 _ nn
=W City Phone Plonner WaterMeter 63 nn
Council Road Unit ?Rn nn
1 hereby acknowledge thct 1 e reod this opplic ion ond stote that 81dg. Off. S/ 2Q/ R 5 Tc PL_o32 nn
?"
the information is correct agree to co A? ?
parks
Stote of Minnewto Statut s Ciry of E RI?E=
Var. Date Copies
Sipnoture of Permittee
rotai 29014.50
R
A Building Permir is issued ro: TTLUND C0. INC.
on the express wnditlon ihot
all work shall be done in actorda wi /?all a cobie State of Minnesoto Stotutas ond City o3 Eaflon Ordinances.
?
Buildirq Ofiicial A SL! i
(3 REQUEST FOR ELECTRICAL INSPECTION All EB'00I0011?0+/
, Sae instructions for completiog this torm an back of ve1t. capV.
O 12 2 79 - "X" Below Work Covered by This Requesi
P"4AddI ReD.I TYOe of Building I APOliancea Mired 4 . Fnui?x Qered I
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace S:9o Unloader
Industrial Bldq. Air Conclitioner Bu0k Mnik Tank
p P e Service Entrance Size N Fee Feeders/Subfeeders 9 Fee Circuits
0 to 200 Amps 0 to 30 Am 0 m 30 Am
Above 200 Amps 37 to 700 Arrq3s 37 to 100 Arnps
Swinuning Pool Above 100_Amps Above 1[IO_Amps
Transformers Irrigation Boorrs Partia9,`OTher Fee
Signs Spec:allnspection S
NerrNrks TOTAL FEE
lZ?,
,,,,e..-... __-_ 1. uro Electriwl
I I?pecW. i?ereby
pe (?? mn?h ?t the above . /
I Final f -. ?/ ^7 Rl insP?tion has heerv-?,
(Mg rapuest voW 18 moMhs from
i : .
?
2/84
CITY Or EAGAN ?.
A PPLICATION FOR PERtiIIT
" SE:•IER
AND/OR WATER CONNECTIODt ?
(PLEASE PRINi)
1) PF.OP7-7r-'Y ADDP.ESS: d.7
r.Fr7SL D?.r..?K=T= 1 TC.Y : '""'
(LctBlock/Subctivisfcn or Tati Parcei I.D. NL:.?,-er)
CC^T;'v., DA=._. OF CZT_GyT-7?i., ISS::;i;C::
?
F7DFCL. ...^?T??'y^_?aOP05? L?5':
? R-1 Si :GL: ?P:.irry '
? R? CLp= (T.-;O L\TimJ) . "
? R-3 :C;,.i ?-z:Cr'SE 7- 11q? ? -.,-,-,^
( L: ?__?)
D ..-4 A:-==7r/=C_.1M ;711:.I ? L^r?_si
? CCi?!yS?::C??.L/RET?IL?Crr ICy
? am?ST=L
? T_\?STI'?'?
2) APPLIC;T (PLEASc PRi;?_1,)
bPi•?: ?E?e%xG /
e?/nJ /0?"Y`' l?+`. ?
ADC:T2ESS:
?
C=, .ZIP:,
PFiONE: -
l
3? pu,.,?? (PLEdSE PRiNT) FOR CITY USE 0
4'LY
NP
l :
,
PDD=SS: ' PLE"ERS L-YC,tiSE:
?
[7?:--
pttive
CITY, :STA':E, ZIP: 0 Expir
. PHOVE:
PLt1.9BEA LICENSE N Not t Recard
' a r .ni:ia
4) ?zLUrH.?u'1•/(.'; i;E1Z tYLLHJC rniui/
NFY?SE: O ff'.C riA'Gl Cd
ADDRESS: eo;>r 9 Fg
CITY, STATE, ZIP: Oc;5lz--0 mA;
P] i0^IE: zY78C) - / ygeql
5) INDICi.TE :9HICH PERi-lIT I5 BEI?:G R011TES'I'LD:
El CC.`.:vEC.TIO:I 'Ib CITY SES•iER
El CL':-NECI'ZC:1 'Ib CITY L9ATE:t
El CriEt (PLLASE DESCRIFiE)
o/
• Q Pr--r?,SE f?OID APPF?OVID PER^^1T FOR PICK-G'P BY C.^1E OF AFGVE
-
--- - _ _---- - - --
APP!?WED P&F-•LIT_ 1 2..-3, _ 4_ ?'E
ircle one)
DATE: ?' ?
?! ?! f?F:?l_ilU6?Y i? i1 ?+t !lJQ?f f? ?a /7 is ii i? i ? ?F s?:a a at l? itJl}?I Yl7rl? f! i?! ae sClg?
F O R C I T Y U 5 E O N L Y
PE`"I"• °- ISSUED
Pvr7S:
$
S
$ 'S^
,
S rS?L;
s
$
$
$
$ '
. $
. ?
SF..:LD ny7_:T'^ JU?•'}..r.'l.?'.?iL?
W.?1TE17) °E?ulT'?' (iL:CL'uDE .?-.URC::?iRGG?
WATER METER/COPFERHORN/OUTST_CE RE2,DER
WATER TiP ( I:VCLUDE CORPCRATIONI STOP )
.??
...._
AC.^_CJNT DE?OSIT - WATER
waC
s Ac
TRli?+K Wp,TEa aS?=-55:.?1IT
TRli:1K 5E;,:ER >SSE „S.iE:iT
Lc;TEP,ni 3r,:vt',FIT/TRUNK SE;•:E :c
LATERyL BEVEFIT/TRU`:K WATER
WATER TREAT?fENT PIAi'VT SURCHARGE
OTHER:
TOT ;L
Ab'OU..T pr,,-„,Rt-,.,
?.?'..`yI?t
n ? U
DOES UTZLITY CONNEC.ZON REQUIP,E EXC.aVATION IN PUBLIC RIGHT OF LJAY?
YES ZF YES, THEN A"PE3L%lIT FaR 'rIORK WZTHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGZNEERZDIG DIVtrSZON. LIST AS A CONDI-
TION.
SliEJECT TO TfIE FOLLOWING CONDITIONS:
..
APPROVED BY:
TZ:LE:
DATE:
M KETTLE CREFK RD.
?
x N 87 ° 50 '27"E , x 1101.3
900. 87. 22soz.?
? F -----/o - o --? o
? o 0
o ? ? aPh ?
J P _ `32.87 _ - ? 4.0 - - - C9oY l2. -
( - L-= ? _._ 9a3.3
.? -I •o? a 22 - -
I 90 S) ? I
\12
? ? P prop. --? ? Z:
"i
p ? I H's e. ? .
? •?
op M
°C `° N?
I ? •? ry _ ? -1/? 3 ? - __ O
Z o? 1 (-90H s) ? . nI
? ? I ?? ? I a h
? I I' ?
? Jo I ? I
Ur
? LU1?l?fy ? Druenage Eqsernen?'??x ?
- - - - ----'
/Y 5 1
903,8 . .
90YH 96.00
/v 870502 7 "F
o Denotes Iron hlonument DUTLOT R
X000.0 Denotes Existing Elevation Proposed Top of F'oundation Elevation = 905.0
1000.01 Denotes Proposed Elevation Proposed Garage Floor Elevation = 904.5
-*-- Denotes Direction of Surface Drainage Proposed Lowest Floor Elevation = 901.5
( hereby certify that this is a true and correct representation of a survey of the boundaries of:
Lot l, Block 3, LEXINGTON SQUARE, Dakota County, hQinnesota
And of the location of all buildings, if any, thereon, and all visible encroachments, if any, from
or on said land. As surveyed by me this 22ndday of May 1985 .
?
;
7homas S. Bergquist
Registered Land Surveyor, Minn. Lic. No. 7725
2 r4? Eps $4qYf ?
W N
-- ?
SATHRE-BERGQUIST, INC.I
995 EGST WAY21Tp OIVO. • WAYICiA, MN. s!]H
TEL[PMONE 672-1)6-0{49
1"=30
E iCAIE
R PAGE
sz 6
FllE MO.
r?do -//
CERTIFICATE OF SURVEY
for
THE ROTTLUND CO., INC.
, EXTERIUK ENVELOPE AVERAG,E "U" CG&li'UTATION
OWNER R07T (--V t-I D C.C-5).
SITE ADARESS
CONTRACTOR DATE ? PHONE 7 EaU-(P-)`(-Qj .
Determine working square footage of each.
1. Total exposed wall area ..... 2 O 7 z
sq. ft. x 22c1o
2. Total roof/ceiling area ..... ? 2 OL/ sq. ft. x r026 -.3 t 0 3?
Total exposed wall area above floor = I g 3 Z
a. Total wall window area ...., ? 3 5-
b. Total door area
... ... . .,. .,.... 3 -?3---
c. Tota1 sliding glass door area .••••
d. Total fireplace wa11 area , .. ... ' . . . ..... " " 41 G
`?_
e. Total wa11 framing area (average 10%).•?
r. Total net wall area above floor ... . ....... -
Total """" • S7
g• rim joist area ...,.,, ?? ???????
.................?.... .. lbtfl?
?
Tota1 exposed foundation area = '3(f)
----`
h. Total foundation window area ..,,,,,
?-. Total net foundation area a ?bove grade ,0--
?? ..
Determine "U" value of each wa11 segment.
a. 13S X llUtt
a5q
_?2090
b. 3?"3 X flU„ o0 7 = zoGG
?. vc7 X o y67 - ? Bo?tU
d. X ?fUll
e. /h Z X full
,D$7
f. -/YS 7 X ?lUll 2
g. /? CJ g ?lUll 00 `r?0 = C? o`f• U
h.
X
?TUll
_
X „U„ vO i? = 6 ?o?
3 ......................................Tota1 _
_ /?/e7Z
If item V 3 is the same as, or less than item V1, you have met the intent
ot SBC 6006(c)2.
? .1?1rv1,: ...?1.1.ilNL. ' •
? . , . \
' 4,I ? ? • , ' . .
? ? •
? ? .?--?M • Const•rucLion
Tnteria
r air :film
2• • s „ . ,
0.61
.
n • f??t?ui.v i.VS u c. o S8
h ? i
4, Extex:tOz ail, f J.m
(stil]. 0,
T°tal
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RESIDENTIAL
BUILDING PERMIT APPLICATION '
? CITY OF EAGAN r
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reauirements RemodellReoairReauirements
• 3 regis[ered site surveys showing sq, ft. of lot, sq. ft. of house; anll roofed areas . 2 copies of plan
(20% maximum lot coverage albwed) . 1 set of Energy Calalations for heated addiUons
• 2 copies of plan showing beam 8 window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks ?
• t set of Energy CalculaGons . Indicate if home seroed by septic system for addifions
• 3 copies of Tree Preservation Plan if lot platted after 7l1193
• Rim Joist Detail Options seiection sheet (bldgs with 3 or less unils)
DATE VALUQION
JOB S I T E ADDRESSI?
IF MULTI-fAMILY BUILDING, HOW MANY UNITS? /
PROPERTY OWNER?1'9_tf ?LZ Ctl?-?al? ?
TYPE OF WORK k? 2U C) r- FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
ADDRESS 14?6'
PAGER #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATLCOR
(check one) - Residential Ventilation Category 1 Worksheet
- Energy Envelope Calculations Submitted
_ vII1VNESOTA RIJLF.S 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes
Mechanical Contractor:
Mectianical System Includes
Sewer/Water Contractor:
Phone #
Phone #
Y1
?rtte? ? ? LI ? ?
D
sy
ree: $90.00
P'ee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or nances.
Signature of Applicank-?????C?i•
C-Ve-
i ??%??'A.•.'--
-7-5-- 5?7`_ N - C' _
PHONE#
4? ZIP CODE
CELL PHONE # e' ?YL7-a0 /Y FAX #
Water Softener
Water Heater
No. of Baths
_ Phone #:
I.aim Sprinl:ler
No. of R.I. Baths
_ Air Coriditioning
Heat Recovery System
Certificates of Survey Received _ Tree Preservation PlahJ;received _ Not Required _
Updated 1/01
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
W idth
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final Other
Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
Insulation _ Windows (new/replacement)
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn.(4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Eut. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
0 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bldg only) - Give PCA handout to applicant
Occupancy MClES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
FinaUC.O.
FinaUNo C.O.
_ Plumbing
HVAC
Building Inspector
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163981
Date Issued:09/16/2020
Permit Category:ePermit
Site Address: 1072 Kettle Creek Rd
Lot:1 Block: 3 Addition: Lexington Square
PID:10-45075-03-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Aaron A Hoese
1072 Kettle Creek Rd
Eagan MN 55123
Exteriors Plus Llc
12481 Rhode Island Avenue
Savage MN 55378
(952) 345-3408
Applicant/Permitee: Signature Issued By: Signature