1073 Kettle Creek RdCASH RECEIPT ,
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19
R6CBIVRD
FROM
AMOUNT $ I
& DOLLARS
I ee
E] CASH F? CHECK
i .).
BY
White-Peyera Copy
Yellow-Postinq CopY
Pink-File Copy
Thank You
CITY OF EAGAN
3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 . ?•• J3
PHONE: 454-5100
BUILDING PERMIT Receipt p
To be used roo• SF DWG/GAR Est value S73 #000 Date NOVEMBER 25 19 85
site Addr ss 1073 KETTLE CREER RD
Lot 1I elock sec/Sub. LE7CING50
Parcel No.
= Name RO'PTLUND CO IHC
383
o Address P • O • BOx
__ ASRx'.C) 577_nane
s
F W Name
? ? Address
i W City Phone
I hereby acknowledge that I have read this appiication a nd state th at the
intormation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Buildin Permit is issued to
9 : RdTTLUND CO I?1C
all work shall be done in accordance with all
Building
Minnesota
Erect Ll' Occupancy Rs
Remodel ? Zoning 1z
Repair ? Type of Const V
Addition ? No. Stories
Move ? Length Sn
Demolish ? Depth w 8
Int. Impr. ? Sq. FI
Install ?
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Oft. 11/20 8
APC
Var. Date
Permit • 00 '
Suroharg?b.50
Plan Reviewoo ?
Wa er Conn. 500.00
Water Meter ?
Road Unit oo '
Tr. PI. 00
Parks
C0pies--TT,-U674[--.-50
Total
on the express condition that
and City of Eagan Ordinances.
!I I Permll No. I wrmic Haaer I nm I TN.Pnm. # I
Plbp.
Htp.
Plby.
Final
Fty.
Frmy.
Dbp.
?
PERMIT # CITY OF EAGAN FEE
MECHANICAL PERMIT ,J S/C ?G I
RECEIPT # • 454-8100 !
MINIMUM RESIDENTIAL FEE - $10.00 + $•50 TOTAL 12(0-
DATE MINIMUM COMMERCIAL FEE - $20.00 + $•50 I
1. Bidg. Type: Res ? Comm Inst 2. New ?• Add Alter Repair ?
?.(? I
3. Total Bid Price ?a?' ?? 4. Job Address 1013 ?? 1E- 1? ?- ?y'
LotBlock 5. Owner
l,
6. Contractor FtCre (der1 V?J 1EV ?J421
(Name) ?- (Street) (City) (Zip)
7. Contractor Phone #
?
RESIDENTtAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or haction -$6.00 '
RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 ?
MODIFICATIONS/ALTERATIONS -$10.00 minimum fee ;
? HEATING VENTILATING HOTVJATER STEAM AIRCOND. !IR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG.
?RES. GAS PIPING OUTLETS -$1.50 TANKS: LP. UNDERGROUND OTHER
COMM.0Nd7" - 7% OF TO AL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. I
?
Signed: ? i c?J.c for
,
? Approved Inspections: Date Rough Insp. Date Final Insp.
? '";
Cities Digital Quality 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.
Receipt ' PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Piint /egib/y Tot.
1. 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 O Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs $eptic Tank
_ Lavatory $oftner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the ahove information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : ' for
Rough f inal
Inspections: Date Insp. __ Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
-- :1
CITY OF EAGAN Remarks n, : %! ?'"- 4
?? - -'?! 9
Addition LEXINGTON SQUARE Lot 12 BIk 2 Parcel 10 45075 120 02
Owner Street 3834 Gibraltal' Trail or stateEagan, MN 55123
1073 Kettle Creek Road
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOR.
GRADING
SAN SEW TRUNK 1985 254.53 16.97 19 254.53 C009721 10-12-84
EWER LATERAL 1]3.(75 C010065 1-28-85
i-
WATERMAIN 1986 68.3 4.56 15 68.33 C010065 1-28-85
WATER LATERAL
WATER AREA 7 1986 286-4 19.10 15
286.43
C010065
1-28-85
STORMSEW TRK 1986 501.2 ,42 15 501.29 C010065 1-28-85
STORMSEWLAT 1986 513.81 34.25 15 513.81 C010065 1-28-85
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 280.00 57853 11 26 85
WATER CONN. 500.00
BUILDING PER. 11356
sn,c 525.00
PARK
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilo. Knob Road
P. O. Box 21199 PERMIT NO.:
MN 55121
Eagan DATE:
,
Zoninp: _ No. of Units:
Owner. _2 t: t t c,_ ,
Addrass:
Slta Addrcss:
Planber: -
Meter No.: Connadian Chorge:
Size: Acwunt Deposit:
Reader No.: Permit Fee:
1 prM te amoy wMh !Iw Ciry of Eoyea $urcharge:
OfNN11Cr. MISC. CFWfQlY. ,. .,?.
Total:
Dote Paid:
gy
Date of Insp.: Inap.:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilct Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
ZoninQ: No. of Units:
Ownsr. -
Address:
Site Address: , •. ' -
Plumber:
1 aym M eanply wiM !Ae pryr e! Eaoe¦
OrNweaaa.
By
Date of Irsp.:
TY OF EAGAN
30 Pi1.+• Knob Road
0. 8ox 21199
gan, MN 55121
nirp: _ 1
ner: ".Dttluad Co.
Add,on; 1073 F.et
n
No.:
Connaction Charpe:
IlccourM DepOSif:
Parmit Fae:
Surchorye:
Misc. Chorpea
Totai:
ocro Poid:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
"••'`; -. •.•_` AccouM Deposit:
Reade No.: IQ-4t-2'0 7Permit Fee: _
1 pW" eo aanyy HIb Nw CMr of 160en Surcharge: _
OrdIeaner. Misc. Choryes: _
Total:
1 ce.r??.`
Dota Paid: _
Dote of Insp.:
Insp.:
Q
on 6q.
d metez
. ,_
+
s?o.:3o+
1 I 692Q j
250:.0+
7.J°.:0'F
63- '3 +
?_3C° ?0+
132 o ;'0+
2s064-50*
7his request vofd ? Q D j`/ ' ? J? ????
18 months from ? ( f o
0 068241
Requegt Da e Fire No. Rough-in 1 pection
Required? Ready Now?."" ill Notify. Inspec-
f 1I ?? Yes ? No ? ? ?or When Ready
?Licensed Electricai Contractor I hereby request insvection ot above ?Owner - electncal work installed at:
Street Address, Box or Route No.
/07,3 xe1;_F cR.fLClc RoAa City
??4c?N
ecuon n.
Townshfp Name or No.
Range No.
Count
y
I 1 ?
y ?0 /TtiQ ?/lT
Occuuant (PRINT) Phone No.
(oAR.y K)f_cFk6R Toto --g(a (V
3
Power Supplier ` ^ rc
??0? ?LC??JC, /T?'J• Address
Electrical Contractor lCompany Name) Comractor"s Licerise No.
Gac.AxtIE FLCc_rA?c) IIuc.
I
c?Y?a6t
Mafling Address (Contracmr or Owner Making insta{lation) `Y733 lt10166 Vvati4 TR44?_ EAG4ti mnO 5s??
Auth ize S?g ature (Con ra /Owner Making installatiun) Phone Num6er
3 ? 3 /
- -
MINNESOTA STA E BOARD OF ELECTRICITY THIS INSPECTIDN REnUEST yyILL NOT
Griggs-Midwey Bldg. - Room N-191 BE ACCEPTED eY THE STATE BOAHD
1621 University Ave., St. Pau1, MN 55104 , UNLESS PROPER IPISPECTION FEE IS
Phona (6121297-2711 ENCLOSED.
3830 Pil CITY OF EAGAN
N2
11356
ot Knob Road, P.O. Box 21-199, Eagan, MN 55121
?
PHONE: 454
8100 ?Y6
BUILDING PERMIT 7
Receipt It
7obeusedtor SF DWG/GAR Est.value $73,000 Date NOVEMBER 25 19 85
1073 KETTLE
Site Addrgss CREEK RD
Erect
Occupancy R3
Lot ?'2 Block 2 Sec/Sub.
LEXINGTON SQ Remodel ?
Zoning Rl
Parcel No Repair ? Type of Const. V
. Addition ? No. Stories
¢
Name ROTTLUND CO
INC Move ?
Length S n
=
P O BOX 383 Demolish ? De th
P - o
4
?°
3 Address
° ciry OSSEPhone 571-0304
Z o Name SAME
0 ¢ Address
~ City Phone
? W Name
? Z
Address
a
a W Ciry 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 Ci of Eagan ina ces.
Signature of Permitt ee
A Building Permit is issued to: OTTLUND CO INC
all work shall be done in accordance with all
of
Int Impr. ? Sq. Ft.-
Install ?
Approvals
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off. 11 / 2 0/ 8:
Fees
Permit Y ?• V V
Surcharge 36.50
Plan Review 176.00
SAC 525.00
Water Conn. 500.00
Water Meter 63.00
Road Unit 280.00
Tr. PI. 132 . 00
Parks
Var. Date Copies
Tota, $2.064.50
on the express condition that
-Stptutes end City of Eagan Ordinances.
Building Official
REQUEST fOR ELECTRICAL WSPECTION
See instructions for compieting this torm on back oi yellow copy.
o --X" Below Work Covered by Thrs quest
.
?-..? EB•00001 UA
?
Nev4 Addj Rep. Type of guiidinB APPIianCeS Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Buik Milk Tank
Farm Other Deci y (?ther ISpecifyl
t r,r SpeCify Other Othcr
Compute lnspectron Fee Below
k Pee ServiceEntrenCeSize q Fee Feeders/Subfeeders # Fee Circuits
Qp U to 200 qm s 0 to 30 Am s { ,SO 0 to 30 Amps
Above 200 Arn s .?pp 31 to 100 Amps ?p0 31 to 100 A s
Swimming Pool Above 100_Amps Above 100_Amps
Transformers Irrigation Booms O Partial%Other Fee
Signs Special Inspection gYp?? ot,r
TO AL
Rem»rks ?? -
10,
Rough-in .
( Date/? 0
1, 1 th al
Inspector, hereby
certity that the above
.
Final Da1e spection has been
mada.
Thls repuest void 18 months from '`' "`11,/
7(1a(13
2006 RESIDENTIAL PLUMBING PERnniT APPUCaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
- Please` eomplete for modifications to existing residential dwellings.
Date,11_ / 15 I C) Cp
Site Street Address K?-?
Unit #
Property Owner Telephone # ((QSl
Contractor YCR?I?'? l?Q ?(?,?yy? Teiephone #(
Address Zip
City State
The Applicant is: _ Owner --- ?-ontractor Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling
$ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are installing onlv a water softener and/or water " -
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_ Water Turnaround (add $130.00 if a 5/8" meter is required)
_Other:
_ Water Softener Water Heater
? - $ 15.00
_ new _ replacement
_ Lawn Irrigation _RpZ _pyg _new _repair _rebuild
$ 30.00
State Surcharge
n IJ? $ .50
I Total ? I $\r ?? ?
J
I herebY aPPIY for a Residential Plumbing Permit and acknowledge that the information is complete and accurake; 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 permit, but only an application for a permit, work is not to start witho ermit and work will be in
accordance with the approved plan in the event a plan is required to be reviewed and appro ed.
L
ApplicanYs Pnnted Name , J
Applicant s Signature
City of EaElanon
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax:(651)675-5694
- ____--_- - _- _____-
? Pertnit#:
? Permit Fee:
? Date Received: ?
I ?
I Staff: ?
?-----------------I
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
oate: Site Address: VeAklE- Cve-e{c. -?RGi- , GQCt an
Tenant: DV 0.LI 2 Suite #:
RESIDENT / OWNER Name: •DoQwe- `JteE-?.1 Phone:
Address./CitylZip: IC) -73 ICe-"t:flE CvY'e L RGI, ELtiQ4-M 55I23
? -?
CONTRACTOR Name: :L/roj V' -PYo `PZut?,b'I?? q License#: 0 (,:5? O(0 13 PM
Address: ?8 ti? sf, , L1) .
eiry: Lakev( <<e- state: Mz;p: 550 4-4
?
Phone: 4 (P `? ?D ITIOt Contact Person: -J,?4A?
TYPE OF WORK _ New 4Replacement _ Repair _ Rebuild _ Nbd'rfy Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESlDENT(AL
? Water Heater Water Softener
_ Lawn Irrigation Add Plumbing Fixtures
C_ RPZ 1_ PVB) C- Main _ Lower Level)
SepUc System W ater Tumaround
New
Abandonment
RESlDENTlAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (indudes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
? ?
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $.50 rge)
D
'Water Turnaround (add $136.00 if a 5/8" meter is required) 1 2008
E
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
By-
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TUTAL FEES $ ?J' O •5 O
I hereby acknowledge that this infortnation is complete and accurete; that the work will be in confortnance wkh the orclinances and codes of the City of
Eagan; that I understand this is not a pertnit, but only an applicaGon 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 X)e1)0V CJq ?._dt.Y?.S 0 W G(? 4a-C-?
Applicant's Printed Name Ao ' anYs Sianatu
:OR OFFICE USE;;
• ' 1 ¦ • ' • ? • I 0 • 0 1?I' • I? ?1• ? ?1•
• ?' 1 ? ' ?• • ? ? • • • ' : ' ?I? • 1 1 1 ?I • •
CITY OF EAGAN
APPLICATION FOR PERMIT SEWER AAID/OR WATER CONNECTION
1) PROPII2TY ADDRESS: ,%e "73 ° ,' e?'
K
T'F1GAT' DFSCRIPTION:
(LOt Block Subdivision or Tax Parcel I. .
IF EXISTING STRCCT[.'RE, DATE OF ORIGINAL BLILDING PERMIT ISSL?ANCE:
(Month Year)
PRESENT ZONING/PROPOSID L'SE: R-1 SINGLE FAMILY
R-2 DL'PLEX (Two Units)
R-3 'IOWNHOL'SE (Three + Units) ( Units)
. R-4 APARTMENT/COAIDOMINICM ( Units)
COMMERCIAL/RETAIL/OFFICE
INIDCSTRIAL
INSTITC'TIONAL/GOVEEtNNNIENT
NAME: f-
??-
?
-
?cL ?-
a"v
!7
f
?C-
ADDRESS:
CITY, STATE, ZIP: SC /-?/A/d i11
PxorE:
3) • ?: ?'• For City L'se
NF1ME:
Plumbers Licens(
ADDRESS :
0
V
CITY, STATE, ZIP:
PHONE:
MASTII2 LICENSE # O?'/?l??yyj g AaRecor(
4) • . , ? - -
NAN1E: ?C o T/ G--u/.iC GU
ADDRESS: ??j d X 3 ilf" j
CITY. STATE, ZIP: ??c5 Ec -,V S S a' (v 1
PHONE:
5) it a•?• 1 • a• jj??
lp COiNNECTION TO CITY SE,WE:F2 99 CONNECTION TO CITY FTP,TER
p OTHER (Please Describe)
6) 0101'COY44o •.i
? PLEASE HOLD APPROVED PERMZT FOR PICK-L'P BY ONE OF ABOVE
10 PLEA.SE MAIL APPROVF.D PEE2MIT TO 1, 6) 31 4, ABOVE
(Ci;cle one)
? ?G `/??
7, ??
?-J .?i ? ? Z2?5
.
- ._ - r
F O R C I T Y U S E O N L Y
• PE?`?IT " ZSSU°D
17 -1
:°_Es. $ ?
l •S
$
$
S
S
S /S'USv
$ -l?oG
$ 5 ocz ?c.?
$
S
$
$
$
$
$
_S
Y
SEi•:LR PERMIT (I`ICL::D:
WAT"R PERt?42T {IL7CL'JDE SliRC::ARGc}
WATER METER/COPPERHORN/OUTSI= REhDER
WAT°R TAP (INCLUDE CORPORATION STOP)
S:.t'iLR TAD
ACCOliNT DFPOSIT - PJATER
WAC
SAC
TRliNK NATER ASSES524E.`7T
TRli:7K SEWER aSSESSME:iT
LnTERAL BEDIEFIT/TRUNK SE:cZIR
LATc:2AL BENEFIT/TRU:IK LIAT°R
WATER TREATMENT PLANT SURCHARGE
OTHER:
TOT ;L
AMOL'NT PAID/RECEIPT
DCES UTILITY CONNECTION REQUIRE EXCAVATION IIV PUBLIC RIGi-IT OF WAY?
C? YES IF YES, THEN A"PERMIT FaR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
C? NO ENGINEERING DIVISZON. LIST AS A CONDI-
TION.
SLBJEC: TO THE FOI•LOWING CONDZTIONS:
APPROVED BY:
TITLE: )
DATE: ?? S ???
Parcel IF -
., ?- ti • «,, ?.
0
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED kTITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
7 3, Oo0
To Be Used For:Cv?My? ?.Valuation: "
Date:
Site Address: 1(7?]3 46ittDQ OFFICE USE ONLY
Lot: J-Z Block Z Seet/Sub 2pAt4,,R Erect ? Occupancy 23
Owner "1'ke
Address T."Q, ?&yG .5 f? 3
City/Zip Code 0---6E0 {?? ?5 3(q?
Phone
Contractor
Address
City/Zip Code (l
Phone
op
?t
Arch./Engr. !?;n?
Address
(I
City/Zip Code
Phone !6 f(
Remodel _ Zoning R,I
Repair Type of Const ?
_
Enlarge // of Stories
Move Length ?
Demolish Depth 1+P5
_
Grade Sq Ft
APPROYALS
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council -Z// -93 Road Unit
Bldg Off Parks
APC Treatment P1
Variance
TOTAL
352,
3?' S=
S2S.
po,
1n3.
'? 'L•
? Dl ?'Sv
s
S rI"? ?
,
o?c 12-- ??? x 4"? ' 4 Z2?--
22 x 2 2, "?84 K- ? 2 -S-2>1:i38
?-.
4,.
,
?•t
o .?
?IiE TTLE C-REE15
, I
?
? e-7.Z?- ?
9-7 05' J ?
; N (?J
9 ?
?-
?
I 36 / I i ?
2 2' ?
? N D
' ` ?r-4• ? ?
o a;
O_ _ ?' rr ? ,G N ?
? ?rn . ?
N ? -r
1
t'i IS I ?2? I .3??
I ?
?
j ? Na urA?+souT ,
?
D, ?ja
, ?or I --a
? 90,0' d
ir),
?
a ? ;° ! , ?
?
mQO
rr,
,N,??N
m
?m i ? m I-CD
fi
?' Ilill ?J
D?' I iOSi
1' !
ILJ
z ?
o u
p Z i
?N +
i
•2 I C t-i t?1 C7??D -"L?L
EXTERIOK ENVELOPE AVERAGE "U" COMPUTATION
OWNER ? ?4 E- ? 7- (.._. V (`--1 f] C Uti 1 ?? C
SITE ADDRESS
GONTRACTOR DATE I' I $S PHONE
Determine working square footage of each.
1. Total exposed wall area ...... 2 2_ 7?6
2. Total roof/ceiling area ...... ) 2-
sq. ft. x :l?'&T?
sq. ft. x .02(0 = ??e 1?-l
Total exposed wall area above floor = 2d Z?--
a. Total wall window area ...... :...................... / S l
b. Total door area ........ • . ....
.......;... ..... ......
c. Total sliding glass door area ....... ............. 4-72
d. Total fireplace wall area ............................. 3 O
e. Total wall framing area (average 10%) ............... / 7(11?7
f. Total net wall area above floor...................... / r 7C'(
g. Total rim joist area ..... _ ....................... /-?7 Z-
Total exposed foundation area = ? y
h. Total fou ndation window area .. ......... ..
..
..........
i. Total net foundation area above grade ... ............
Det ermine "U" value of ea ch wall segment.
a. X ItU!1 ? 6 S ?/ _?Sog?o
- b. X nU"., o //7 = ? a e7r7 . .
C. u? X t,U„ 0 v.? _ ??yo
a. x "u+, o v f = )302-0
e. X t'U" o?S7 = 1S3 1
f S ?5" X „U„ ?Gy-2 = 66e3?
g. A ?2- x „UI, oo1/?o = 6" 91;'
h. ?-? g uUll t?--?! ° ?
,----
i. 4/0" X „Ull o76
3 ......................................Tota1 °.Z) Sv 0 I
If item # 3 is the same as, or less than item Ill, you have met the intent
of SBC 6006(c)2.
Total exposed roof/ceiling area =
Total gross roof/ceiling area = ? 3? 2
j. Total skylight area ........ ...I............ ?i
k. Total roof/ceiling framing area ............ $`f `
1. Total net insulated roof/ceiling.area ...... 1 3 O 2-
Determine "U" value for each roof/ceiling segment. ,
j f XItUll n y`{ = 2 r?-?
.
k ?Lf Xlf„ll Z,2'1
?. l 30 2 XIfUll o?Zs = 3?oS?
4 .............. .................. .... Total = 3 7o`f 6
If total of #4 is the same as, or less than 4i2, you have met the intent of
SBC 6006(c)1.
To utilize the total envelope system method, the values esta blished by the
sum of items #3 and #4 shall not be greater than the sum of items Ill and 112.
2 5 z?g? + 2 2- <99,005-
i. .
3. 2 1 So0 ? + 4. 3 70 `?-? = 2 5.?e N7
Ol n
•luTE: Use 10% of opaque wa].1 area for ?
^ iza{ne construction ? • ?
? Construction
?' , . • R-Value
, ? ].. Interior airr' film
. . .2. "Cz-Y P f3 9- b ? y. 5=
.? 3. Z x? STCi/? 5
sASIC • 4. 25/32 5J-r7-C.- 2„06?
WAI,L 5. ?/LY.Iils U?.?C_'/< FELT / o..Z ?ca
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Use BLUE or BLACK Ink
r-----------------+
I For Office Use �
� � Permit#: l �/�� �
Clty of ����� ; . . t���- �
Permit Fee. 1
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: � �
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: �
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
' Name�j��°i'1 � Gi h� Phone�` 2� ��v � �-'0 C�
Resident/ ( ��� `� �'� � � N(N
Owner Address i City i Zip: � �� l jS�Z
Applicant is: Owner �Contractor
Description of work:!'-� -��"'"'v
Type of°Work :
Construction Cost����� Multi-Family Building: (Yes /N
Companyl,Y�Y� '�c V�/�`Il �U�1S( -�l'` �'`— Contact: �/l-'�� �t��c� ��r--
��./ �.�,., ,,, /
Addres .�r'� ��(� �T.�� - - ��", Cit���/'�`"Y /1/c���
Contractor �� / ,��
Statql�� Zi ��� Phon �— s �Vb[6��Z����_C��'z
p: e�.� �3�1�3 Email: _�
��
License#: d���CL� ead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 onths, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
NOTE:Plans and supporfing documents that you submif are considered to be public informafion. Portions of'
the information may be classified as non-public if you proVide specific reasons that would permit the City to
conclude that they 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.qopherstateonecall.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 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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State 'ding de must be completed within 180
days of permit issuance.
x��'�� �� C�,���"/� X
ApplicanYs Printed Name A li s Sig u e
Page 1 of 3
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139861
Date Issued:11/14/2016
Permit Category:ePermit
Site Address: 1073 Kettle Creek Rd
Lot:12 Block: 2 Addition: Lexington Square
PID:10-45075-02-120
Use:
Description:
Sub Type:Windows/Doors
Work Type:Overhead Garage Door
Description:
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, 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: 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 -
Duane W Steen
1073 Kettle Creek Rd
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: / Site Address: la`s 3 led-fle Caeck 0& Unit M
Name: CZk `�� 1 Gig. �1)'t Phone:
Resident/
Owner Address / City / Zip: /0`13 P -P wo- , &at- _
Applicant is: Owner Contractor
T e Of Work Description of work:A1 a� - fti Z� �i`"L
Yp
Construction Cost: 3, na, e-0 Multi -Family Building: (Yes / No
Company: 7 / pDy-5 Contact:
Contractor
Address: / V'V' 61)11/0 City:
State: Zip: �� :S _ Phone: 961., '14-_3b �Emall: 1'� � ✓ e5 e.
0
License #: 8L.. l3b6 S 5 Lead Certificate #: - U5 4-6 - Z -
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
Fire Suppression Contractor: Phone:
N(7TE: Plans andsupporting documents that you submit are considered to be public information. Portions of the information may be
classified as non -Public if vou Provide speciric reasons that would unit the Ci fo conclude fhat the are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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.
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.gopherstateonecall.org
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.
Applicant's Printed Name Applicis Signature
1-----------------i
1 For Office Use
I
I Permit #: I
AG,ANI
{
Permit Feer
°+
A',
Date Received: %% _ 30
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
NOV QQ�
� 1
(651) 675-5675 1 TDD: (651) 454-8535 1 FAX: (651) 675-5694
1 Staff: �z
buildinginspections(aD-cityofeagan.com
_ _ _ __ _ _ _ _ _ _ _ _
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: / Site Address: la`s 3 led-fle Caeck 0& Unit M
Name: CZk `�� 1 Gig. �1)'t Phone:
Resident/
Owner Address / City / Zip: /0`13 P -P wo- , &at- _
Applicant is: Owner Contractor
T e Of Work Description of work:A1 a� - fti Z� �i`"L
Yp
Construction Cost: 3, na, e-0 Multi -Family Building: (Yes / No
Company: 7 / pDy-5 Contact:
Contractor
Address: / V'V' 61)11/0 City:
State: Zip: �� :S _ Phone: 961., '14-_3b �Emall: 1'� � ✓ e5 e.
0
License #: 8L.. l3b6 S 5 Lead Certificate #: - U5 4-6 - Z -
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
Fire Suppression Contractor: Phone:
N(7TE: Plans andsupporting documents that you submit are considered to be public information. Portions of the information may be
classified as non -Public if vou Provide speciric reasons that would unit the Ci fo conclude fhat the are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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.
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.gopherstateonecall.org
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.
Applicant's Printed Name Applicis Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA166715
Date Issued:01/29/2021
Permit Category:ePermit
Site Address: 1073 Kettle Creek Rd
Lot:12 Block: 2 Addition: Lexington Square
PID:10-45075-02-120
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Duane W & Michelle M Steen
1073 Kettle Creek Rd
Eagan MN 55123--151
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA169939
Date Issued:06/15/2021
Permit Category:ePermit
Site Address: 1073 Kettle Creek Rd
Lot:12 Block: 2 Addition: Lexington Square
PID:10-45075-02-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
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 -
Duane W & Michelle M Steen
1073 Kettle Creek Rd
Eagan MN 55123--151
(612) 310-4860
Apple Lake Heating & Air Conditioning
207 150th Street West
Apple Valley MN 55124
(952) 431-4328
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA171920
Date Issued:09/07/2021
Permit Category:ePermit
Site Address: 1073 Kettle Creek Rd
Lot:12 Block: 2 Addition: Lexington Square
PID:10-45075-02-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater & Water Softener
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 -
Duane W & Michelle M Steen
1073 Kettle Creek Rd
Eagan MN 55123--151
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature