1063 Kirkwood Dr, CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 59112
IDATE 19
RECEIVED
FRpM
AMOUNT $ ? .I
? i
)
9i DOLLARS
? 1 oo
? CASH /] CHECK
ROR
BY ?
White-Peyere Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
?,,. ? C,?o
._.?_
I
F _,
BLDG. PERMIT N0.
Y-Ik
01-3210 Bldg. Permit `-i'-? G J v
d4-3422 Plan Check
0:1-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt. cx??)
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL cv)
• ` CASH RECEIPT
' CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DAYE 19
R[C!I V ED
GROM
AMOUNT $ I
& DOLLARS
1 oo
? CASH CHECK
Y t:.l,..`.U..;.l ... T
RUND COOE AMOUNT
Thank You
B Y `?
.?
White-Payera CoPY '.
Vellow-Posting Copy ;
Pink-File Copy
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT
Tobeusedfor Est.Value Z'82,,000
Site Address *S
Lot , -? Block
_
Parcel No.
a Name ?
W
z
Address i
0 City :;'`\?ILL
¢o
. Name
z?
0Q
Address
? City
Ww Name
_z., Address
U
Q W
City
P
_ P
I?ereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State ot
Minnesota Stalutes and City of Eagan Ordinances.
Signature of Permittee
ABuildingPermitisissuedto:
on thE express condition that all workshall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Oflicial '
3 Sec/Sub. E 1 ST
1?r 2 'i '
Receipt #
Date
a 0 r OFFICE USE ONLY
23
On Site Sewage Occupancy
MWCC System x Zoning ?
On Site Well (Actuall Const ?
Ciry Water = (Allowable) ?
PRV Required ? # of Stories
Booster Pump Length 47
Depth so
S.F. Total
Footprint S.F.
APPROVALS
Engr./ASSess. FEES
Permit
??
? ?
Planner Surcharge ?
Council PlanReview
l00*00 I
Bldg. Off. SAQ City I
Variance SAC, MWCC sZS'oo
s15
00
water Conn. 0
.
WaterMeter 67•00 !
_
303900
Road Unit _
Treatment P1 ??loo
Parks
TOTAL
CITY OF EAGAN ? -12 16
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' PHON E: 454-8100
I gUILDING PERMIT Receipt#
To be used for Est. Value 'Date ' ,19 t
Site Address 1063 KIRKWOOD DR OFFICE USE ONLY
' t-On Site Sewage Occupancy
Lot Block Sec/Sub. - MWCC System ? Zoning
Parcel No,
Address ' t ' TA
City Phone
Name _
Address
City _
Ww Name
W
_2r, Address
Q
¢= City Phone < W
I hereby acknowledge that I have read this application and state that the
intormation is correct and agree to comply with all applicable State of
-Minnesota Statutes and City of Eagan Ordinances.
SignatureofPermittee -_-----_-
A Building Permit is issued to:_
Building Official tJW
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
On Site Well (Actual) Const
City Water x (Allowable)
PRV Required X # of Stories
Boaster Pump Length
Depth
S.F. Total
R3
?
?
Foo[print S.F. i
APPROVALS FEES , `?•? i
Engr./Assess. Permit
Planner Surcharge
'
Council o.
Plan Review _
Bldg. Off. ?100
SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks ?--?
TOTAL
Parmit No. Permlt Holder D
ate Telephone
PlUmbing
r
7
H:V.AC. a-? ?
Electric ?_ :;'%;' ?• ?? ? •
t > (?c t, / ?
ii/.4 8?
? a'
,??
Softener
Inspactlon Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg. ??.
Rough Htg. i ?p
Isul. ?? -
Fireplace
Final Htg.
Final Plbg. ..,d. l?Z
Bldg. Final
Cert.Occ. -,5f
Temp. LP
DeCk Ftg.
Deck Finel
Well
Pc Dfsp.
.. .
PEFMIT #
, MECHANICAL PERMIT
'
RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100 i
Site Address BLDG. TYPE WORK DESCRIPTION i
Lot - Block ? . Sec/Sub ?
{
Res.
New
?
Name r r • Mult. Add-on
m
m
Address -S? ?--
?--5-? +e
l? rJ Comm. Repair ?
c City 01L LA?? E Pnone ? "' -c YY Other sj
a
Name ? ?'? -?? ? `-'? ?'4 ? •y 7 -
EES
RES. HVAC 0-100 M BTU _ $p4.00 ?
c Address ADDITIONAL 50 M BTU
- 6.00
p City phone (RES. HVAC INCLUDES A/C ON NEW ?
?
? CONSTRUCTION)
?
GAS OUTLETS
MINIMUM
1 PER PERMI'
1
0 EA
4 TYPE OF WORK ?{ J -
n -
.5
(
.
COMM/IND FEE - 146 OF CONTRACT FEE 1
? Forced Air M BTU ' APT. BLDGS. - COMM. RATE APPLIES ,
'
Boiler
M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPLIES I
I MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 ?
Unit Heater M BTU REMODELS - 12.00 j
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 ?
Vent
CFM STATE SURCHARGE PER PERMIT - .50
.
PERMIT PRICE GOES
i
gAD
Gas Piping
OuHets # OND $1,ppp)
Other
-
,
?
?
, FEE: -v
jr,•? ;?.?
S/C: ? ?SIGNATURE OF PERMITTEE
TOTAL: -
-'' r ' J ' i
, f.? ? ?, . ` f•: ? , i/lC
FOR: CITY OF EAGAN
? .. ' , . PLUMBING PERMIT
I , CITY OF EAGAN
3830 PIIOT KNOB ROAD, EAGAN,
I CONTRACT PRICE: PHONE: 454-8100
Lot Bloc?C -`- y- Sec
y Name r,l„ l?:lrjrc_?`=
?o Address 1' l1'S C'r2r«.?`?c°i i.l
,
c City Lu.-w1 uI.,-•? Phone
? Name C'-vCU:.t_„',ncr.. Irnvrt>
c Address 1-916' I-detird U-J•
p3 CftyPhone
FEES
COMM/IND FEE - t% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & 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)
OF
FOR: CITY OF EAGAN
q -
'.i
. :.'. ? . ' +
BLDG. TYPE WORK DESCRIPTION
Res. New u
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL '
?2-_Water Closet - $300 Sj?-
_Bath Tubs - $3.00 ?
Lavatory - $3.00 ?
?_Shower - $3.00 ?
?-Kitchen Sink - $3.00 'S r
_Urinal/Bidet - $3.00
?Laundry Tray - $3.00
Floor Drains - $1.50
?-Water Heater - $1.50
Whirlpoal - $3.00
a_Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
-Softener - $5.00
-Well - $10.00
Private Disp. - $10.00 -r---?
Rough Openings - $1.50 ??• `' ??
FEE: r?
STATE S/C: ? SG
GRAND TOTAL• ? ? • '`'JC
.,
.
(gtrtif tratr of (Orrupttnry
Citp of (tagan
aP}iMl"bitPttf of i1rilbtm iIt9}iPttiIItt
This Certi,J'rcate issued pursuant ro the requirementr ojSection 306 of the Uniform Building
Code certrfying thar at rhe rime of issuance this structure was in compliance wuh the various
ordinances of the City regulating building construclion or use. For the jollowrng.-
Use C7aaifianon UZ1 GA': BId6. Flrmit No.
Oc-P-Y Ty'Pe 113 Zaoing Diatnct Type Coml .
o? of e??w?g ''T?&t5:'?1G fi x?C -:, A? ??, i- , ? c•r r
?
Building Addras Lccality
DltE:
Buildiog OffidaY '
POST IN A CONSPICUOUS PIACE
CITY OF EAGAN Remarks
Addition_CHES MAR EAST FIRST ADDN. Lot 12 RIk 3 Parcel 10 17150 120 03
owr,e? ?Kf?-4;6 street 1063 Kirkwood Drive State Eagan, MN 55122
cl o., /Y7d),
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1
STREET RESTOR.
GRADING
SAN SEW TRUNK S// 112. ?? A012630
-1 - 3
*SEWER LATERAL
WATERMAIN
-AWATER LATERAL
WATER AREA 56
00 5 li
.
STORM SEW TRK 140.44 A012630 8-19-83
*STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
P
I CITY OF EAQAN Permit No: '
10? 61 01 Date: 10-2-E7 i
? 3830 PilolKnob Aoad g/p No: %7723 Date: "-25-$7 !
P.O. Box 21199
?
? Eag?n, RIIN 55121 ?
?
Owner. Fver?astint :losc?
?
SiteAddress: 1063 Kirk:wood Drive L12 63 (fies Nar E lst
Plumber: ?tatthew r2O1n1s, ,rtr_,
? MWCC: 52' • 29F4 Zoning•
City Chg: U 0' d 3 ?
No. of Units:
VUpd
i Acct. Dep: ?
1 ?
00]?
I a ree to com 1 wRh the C of Ea an ?
9 P Y hY 9
.
Permit Fee: ?
Ordlnances.
I Surcharge:
?
Misc.: gy j
CITY OF EAGAN , Permit No:
Date:
3830 Pilot Knob Road Meter No: Size:
P.O. Box 211799 Reader No: Date:
Eagan, MN 55121
10-2-87 I
_ r,,,.•:i, nt:ul?fgy
WATER SERVICE PERMIT
1Ilu Y Or EAtiAN PermR No: Date:
0 Pibt iinob Road Meter No- Size. Boz 21199 Reader NoY D 7 Date an, MN 55121
ner. j?t(?.i 1'.72'l.VlOOui lixive? Address: -1;' mbeuttiiew Uattiels Inc.
Conn.Chg: r°?.'.OOpd
F¦
Acct Dep: 1''' ??pu ?Q•IB??N?? -
Permit Fee: r' •''?? ?' e
-n,, .? . L?CTRIC C1?S Ete
the City of Eagan
Surcharge: ? ??? to Tet.-C w(th
Tr. Plant `.t ??c
Meter.
Misc.: gy WATER SERVICE PERMIT
Conn. Chg: ' I'' ()(0d Zoning: `' Z
Acct De 1''• 1
P: (nd p No. of Units:
Permit Fee:
Surcharge: •-r'opd I agree to comply wHh the CNy of Eagan
Tr. Plant =0• 00Pd Ordinances.
Meter. `.:7. U(!pd
CITY OF EAGAN N°_ 14 216
-- 3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121
$UI PERMIT ' PHONE: 454-8100 Receipt # ---I -l ----? a
LDIMG ?
To be used for SF DWG/GAR Est. Value $82, 000 Date SEPTEMBER 25 1 g 87
Site Address _
Lot 12 Block
Parcel No.
1063 Klxxwnnn nu
3 Sec/Sub.CHESMAR E 1ST
, Name EVERLASTING HOMES INC
z Address 1815 LECOTA LANE
? City B' VILLE phone 435-2148
tiIName SAME I
o (J Address
r- City Phone
?- m
VjW
y Name_
?
s,25 Address
U
Q yZj clty _
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}ty? o?f Eagan dinances.
Signature of Permittee,,,. __
A Building Permit is issued to: EVERLASTING HOMES
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota tatutes and City of?Eagan Ordinances.
.(?-?Gt ?i
Building Official i
OFFICE USE ONLY
R3
On Site Sewaae _ Occupancy
MWCC System X Zoning R1
On Site Well _ (Actual) Const Vri
City Water X (Allowabte) Vn
PRV Required X # of Stories
Booster Pump _ Length 47
Depth 50
S.F.Total _
FoOtprint S.F. _
APPROVALS FEES
$ 440.50
Engr./ASSess. Permit
Planner Surcharge 41.00
Council Plan Review 220.25
BIdg.Off. SAC,City 100.00
Variance SAC, MWCC 525.00
WaterConn. _ 525.00
Water Meter 67.00
Road Unit 305.00
Treatment P1 180.00
Parks
$2
403.75
TOTAL ,
/?/?BJgr? REQUEST FOR ELECTRICAL INSPECTION EB-0000r17-06
/ Il, See instructions lor completing this form on back of yellow copy. y `2 Cf?
D7?"j,_46 2 "X" Below Work Cavered by This Requesr
Add Rep. Type ul Buildin8 APpliancna Wired Equipmenl WireA
Home Vk% Range Temporary Service
Duplex Water Neater Liyhtin,y Fixtures
Apt. Buildinq Dryer Electric HeaLn
Commercial Bldy. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tenk
Farm Ocnr, Per.i v Oiher (Sper.ify)
thpr SUecify Other plher
ompute Inspection Fee Below
F e e Service EntranCeSize !i Fee fenders/5ubteedars tt F e Circuits
?to200qm 5 0 to30Am s ? 0 tn30Am. s
Above 200 qmps. 31 to 100 Amps 37 to 100 Am s
Swimming Pool Above 100_Amps Above 100_Amps
Transformers Irrigation Boonis Partial-bther Fee
Signs Speciallnspection
perns3 rks OTAL EEr
B"ILZ
Rough-in DaLe
/? •
rl , the ctric
I
C? l nspector, ereby
tif
[h
h
Final
D^te Cer
y
et t
e aboVe
x;?? inspection has been
d
ma
e.
fhis repuest voiE 18 months Irom
This request void
1//p18'7
18 nqnths irom 1d
3 0 Q 6 2,c
Requast Date - fire No. Rough•in Inspeclion
Fe ueA? ?Ready Nuw Will Notify, Inspec-
? , 'es ?No or When Readv
;!tv,-?censed ElecVical Conbactnr 1 here6y request inspection ot a6ova
? Owner A electrical work installad at
Street Address, Bx r
.
City
z;
/
k ??IA"
e tion . Town hip Name or o. FR,_ng_.No. nty
OcwGant (PR1 1 Phone No.
v
Power upVlr, Address? ?
Elec al C
on a tor ( mpa y Name) Contractor's License No.
A croe
02
Mailing Ad ress Contractor r Owner Ma ing , ailat?ion.)
Authorized 5i ture (Con or/Owner Making Installation) Phon Numbe ?
MINNESOTA STATE BOARD OF ELEC7RICITV THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Boom N-197 - BE ACCEPTED BY THE STqTE 90ARD
1821 Universitv Ave.. St. Paul, MN 55104 UNLESS PNOPER INSPECTION FEE IS
ENCLOSED.
Phone(612)642-0800
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conatructlon Reauirements
• 3 registered sfte surveys showing sq. tt. of lot, sq, ft. ot house; and II rooted areas
(20°h ma)oimum lot coverage albwed)
• 2 copies of plan showing beam & window sizes; poured fourW design, etc.)
• 1 sei ot EnergyCalculatrons
• 3 coples M Tree Preservatlon Plan if bt platted after 7/1/93
• Rim ,bist Detafl Optlons selection sheet (bldgs wfth 3 or less untts)
DATE 4/ s/d L
RemodeUReoair ReauiremeMe
• 2 copies of plan
• 1 set of Energy Calculatbns for heated additions
• 1 sfte survey tar aMerior addi6ons & decks
• Indicate H hane served by septic system for addttbns
VALUATION
6 1 ?, 3/Y9 7
SITE ADDRESS 1496'3 4 W0,0 C/ '02 MULTI-FAMILY BLDG Y N
NPE OF WORKJZ.?c 615- Zo F FIREPLACE(S) _ 0_ 1_ 2
-06 O /Z A-tlC s° ?^
APPLICANT ?S 1? ?O ?S .??` I2
STREET ADDRESS A'2qjWSV114o /??/U 55 3 37 CITY STATE ZIP
TELEPHONE 0 SZ 5'-&?2 lr? CELL PHONE #a/Z 0930 FAX #
S2 s ?2 7(a
PROPERNOWNER_ 7ELEPHONE # la3)- 7F7 `r F67I
?
COMPLETE THIS SECTION FOR uNEWN RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Ensrgy Envelope Calculations Submittad
Plumbing Contractor:
Plumbing system includes: _
Mechanical Contractor:
Mechanical system includes: _
Sewer/Water Contractor:
Water Softener _
Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
I hereby acknowledge that I have read this application, state that
with all applicabie State of Minnesota Statutes and Ciry of Eagan
Signature ot Appilcont
OFFICE USE ONLY
Phone #
Lawn Sprinkler
No. of R.I. Baths
Fee: $90.00
Jura Q 5 2002
agree to comply
Certificates of Survey Received _ Tree Preseroation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dweliing
13 03 01 of _ plex
? 04 02-plex
13 05 03-plex
? 06 04-plex
? 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 Levei
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 PorchlAddn. (4sea.)
? 23 Porch (screened)
? 24 Stortn Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. AIt - Muki
? 33 Ext. Alt - SF
? 36 Multi
13 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Rapair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Window5/Doors
? 34 Replacement `Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories 8ooster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const W idth
REQUIRED I NSPECTIONS
_ Footings (new bldg) _ FinallC.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ 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
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
?
1987 BDILDZNG PERMIT APPLICATION - CZTY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLDDE 2 SETS OF PLANS, 3 CERTIFICATES OF SQRVEY, 1 SET OF ENERGY CALCQLATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEO'iiNER MQST DESIGHATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSIIED.
MULTIPLE DGiELLINGS - RFSIDENTIAL RENTAL IINITS FOR SALE QNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECK iiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMM!?RCIAL -
INCLUDE 2 SETS OF ARCHITECTURAL & STRUC'PURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$29000 LANDSCAPE BOND
cT ? I b ? 3 ' 4-\,
Be Used For: S-•?s/c ?,-?.'/ Valuation: Date: 4?
4-1 -
Site Address -
Lot 41 Block J
Parcel/Sub Sf
Owner JOL v
Address
City/Zip Code
Phone
Contractor `U?,,,/GS7?•^.+?4 .Z-,?c
116
Address /t/ 5- /.ZiM!17?r
City/Zip Code ,,,,s u://C-
Phone
Areh./Engr.
Address
City/Zip Code
g Z/ OOQ -OFF
On Site Sewage_
MWCC System ?/
On Site Well
City Water ?/
APPROVALS
Assessments Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Variance
Occupancy K-3
Zoning -?
Type of Const
(Aetual) V- N
(Allowable) %11-N
# of Stories
Length
Depth 50 .3
S.F. Total
Footprint S.F.
FEE.S
Permit y0,'
Sureharge 441.00
Plan Review Z2o.?,5
SAC, City 00.00
SAC, MWCC 525,00
Water Conn 25.00
Water Meter 69100
Road Unit OS.OD
Treatment Pl 190.00
Parks
Copies
TOTgL 2,?D3 "?5
,
Phone #
GARa-r?
,23 -( ay= s5a x iz= 66 zy
3 =
I zl Sl xI y=
Y'nAlKs V-L-oofZ
yb.3x zC',3
) °x 9:3 =
I 2 i `6
'93
13r ! X yy =
1? 69g
5'168y
8l 35?
s
.
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
e
, 1)
PROPERTY ADDRESS:
LEGAL DESCRIPTION:
NOTw,: PA3WfP QF kEE AT TIME OF
APPLIcATIorr noFS Nar oorsTTTUTE
APPROVAL OF PF•E2MIT.
nasPEcrIorr oF sEWER Arro/ox VMTEt
aSl'AT•r.aTroNS wIM Nar sE scHED-
UIED [7NTII, PEEtMIT HAS SEFN
APPROVF9. '
Lot Block Subdivision or Tax Parcel ID )
IF EXISTING STRt'GZURE, DATE C
PRESENT ZONING/PROPOSID LSE:
q corMERcIAL/RErAIr,/oFF zCE
rl IPIDL'STRIAL
? INSTIZLiTIONAL/GOVE[ttNNIENT
IF ORIGINAL BT-IILDING PEE2MiT ISSDANCE: "-'
(Mon Year)
.
? R-1 SINGLE FAMILY
? R-2 DL?PLEX (ZTao Lnits)
M R-3 rMWNiOLSE (Three + Units) ( Lnits)
0 R-4 APARTMENT/CODIDOMINIL'M ( Units )
2) IvANlE:r
W6 11eyrj9S
- ADDRESS: L407* CAJ. --
CITY. STATE. ZIP:3'UII.La-
PHOm:
3) • i: ?• NAME:
ADDRESS:
PxoNE: y23-37-!.a rAsTEx LIcEvsE# 3oI9R
ruumoers La.cense:
Active
E.xpired
Not recorded
Staff In a1
4) •• • i?+• - -
ruArE: SRwtE ?4S ?i
ADDRFSS: . '
QTY. STATE, ZIP: .
PHONE:
•5) ? a • a?• : a • a• - ??
.. ? CONNECTION 70 CITY SEWII2 CONNDCTION TD CITY WATER ? OTHER '.- •
6) '? •.?' ? PLF,ASE HOLD APPROVID PERMIT FOR PICK-L?P BY ONE OF ABOVE
? PLEASE MAIL APPROVID PII2MIT TD 1, 2, 4, ABOVE . :.
/ (Circ e one)
7)
r.. i: ? : i ? .?--? ?. /_ _ ? _
CITY, STATE. 2IP:
F4R CITY USE ONLY
PERMIT # ISSUED
$ ,
4?//7
Pd w/Bldg. Permit FEES:
SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLLDE SLRCHARGE)
$ 7'C''f> $ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ $ WAC
$ G:z S CA t? $ SAC
$ $ TRLNK WATER A55ESSMENT
$ - $ TRLNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRDNK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER `
$ $ ER
SUR
H
R
WAT
TREATMENT PLANT
C
A
GE
$ $ OTHER: '
$ I ? ? ? • ??'? $ e C TOTAL
--7?7,,3
RECEIPT #-
77???3
RECE
IPT -
DOES UTILITY CONNEC TION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A" PERMIT FOR WORK 6VITHIN PLBLIC
ROA DWAY" MLST BE ISS[)ED BY THE ENGINEERING
Q
NO
DIV
ISION. LIST
AS A CONDITION.
SUBJECT TO THE FOLL OWIN G CONDITIONS:
APPROVED BY:
TITLE:
DATE:
RES[DENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
awoo
-- _f ft?,
qt1(oj
New ConsVUCtion Reauirements RemodeVReoair Reauiremenis Office Use Onlv
3 registe2d site surveys showing sq. ft of bt, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N
(20°k maximum lot coverage allowed) 1 set of Energy CalcuWtions tor heated additions Tree Pres Plan Recd Y N
2 copies of plan showing beam 8 window sizes; poured found design, elc. 1 site survey for additions & decks Tree Pres Not Reqd Y_ N
1 set of Eneryy Calcula5ons Addi6on - indicate i/on-sife septic sysfem On-sile SepGc System _Y _ N
3 copies of Tree P2servation Plan ii lot platted after 711193
Rim Joist Dehail Options selection sheet (bidgs with 3 or less units
Date 0 / a$ / D3 ConstructionCost $ 3200
Site Address 1Q103 K 1 r-k W Uo d D r Unit/5te #
E? ?.? MN ?2
Description of Work O2Ck
Multi-Family Bldg _ Y X N Fireplace(s) 'X 0 _ 1 _ 2
Property Owner I1Mo%? @(12?Up2. AQI I Telephoae#(bSI ?(O1I
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Woecsheet
(?1 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagac
fee applies. Fn C
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
n? Y
C 2 $ 2003 Telephone #(
Telephone # (
Telephone # (
N If so, 25% plan review
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 accordance with the approved plan in the case of work which requires a review and
approval of plans.
? 1f?0?hy ? ?i4t 1 ?
Applicant's Printed Name Ap icant' ignature
OFFICE USE ONLY
Sub Types
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 03-plex
? 06 D4-plex
Work Types
? 31 New
'PJ' 32 Addition
?
? 33 Alteration
? 34 Replacement
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screen/gazebo)
? 24 Storm Damage
? 25 Miscellaneous
r ,
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg) - Give PCA handout to appiicant
o
9
IP ?
Valuation
-4
L Occupancy MC/ES System
Census Code ?i f Y
--??--7- Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const ? Width
Footings (new bldg)
?C Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
REQUIRED INSPECTIONS
FinallC.O.
? FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By % , Z, , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 07 05-plex ? 13 76-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex 0 17 Garage
? 10 08=plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Pibg_Y or _ N
??? ?
?..__... _
?
r ?
TM Q ?
R:4?3 Kl?-kwoac.? (J+_
E?3 Qti
foS i_q9`'i_&o7 t
0
. .• A A4
!f? ,Sc?' ?
s.
y?
K IRKWO00 _.-,.. ORIVE
• T.e.93e.-rs {?? p
,-- 850°27'02 "E 100.0 '
----- - - . '
0 6 ?
?
( ? *? q??? ?•J? i' p f Q' .r,D
O f 94o B6 f i ? n• I. ?O ? p?? ?o
i K
?
y .
C
o ,x
? N
i} ' ?? \m }w
OARACiE ,? ? . ".
e ?
' ' ' ??.a o \\l?\\\\\ I '
; W I ? Propostc? \\ •? I Ex:s?:?
HO?gr_ ? L
N I ?
M ?0 , .
L..
? . a oecK,?
O T f''??'' Z p o
L
I I ?
s ?
? 4r
t JN ?? I
_
''-• N50027'02"W 100.00 - -' `
l_ '? ''" •`; i :i _?r i
?? , . / .
r
SIGIIEIA
SURVEYING SERVICES INC.
3730 Pibt Knob Rood
• Eogan. NYmeaoto 55122
? (612)462-3077
House Certificate
Fo r :
EVERLASTING HQMES
DRAINAOE AND U7ILITY EASEMENTS
ARE SMOWN THUS+ •
---J ?----
0 0
,yo
Bainq 6 fecf in rldfh, unless alfrerrlse ?.
lndiootad, odJalninq Lof Ilnas , and .. . o.? Pb .
IO /af in wtdlh, unlesa ofhsrwiae qoa
IndieWed, adjo7niny Sfreet Ilnes, os aAorn
on fha O/af.
?
+
m° T.
KIRKWOODDRIVE
c. x 930.67 , x T.c.930.15
.-- S50027'02"E I 10
'?J
1
i
,.? o ; -?
--
I a .?+°'> -?e
?qyy.N' N P ' J6 T
0 - ? *^ qJt?' ? Q<? p
0 ' ' 9qo e
I
9- 2! /0 2i.'/ \
?
t\\\?
. I? OARAGE:
I;
?
E
0
AryqF
.,
., vd ?
?
i
p;Q }?.sV
?
PD t4 b?a
I ?a
a
' t
?
? 6ar. 1 . HSe-
? Ex;sb;n9
I ' t ??.n o \\ V\\\\
ae't \\\ \
W , I P?opese.d \\?
. ? \\\\\? ? ?
? . I ?\\OUSE N
. N .fl0a? 4?6.8 ._Ibol .
o ? `b`
M ; I
Z ? LOT I2 I
?c
It g L --- -------- ?
1 . v } 9H3.9 . .. , Lo
''-- N50°2T '02°W 100.00 - -'
?
Scale = I"= 30' ,'? '
?
_LE.GEND _
O Llsrwtes /rcn Yaxmnt
p Llxwtes Noa! Hib Set
x936.6 Lienqtes fxistirg Spot Elevation
) Qerwtes R^oposed Spnt Elevatian
,.-?Dler?otes Ora inage D i rec t i on
-PRFERrY MSti'RIPTIQV-
LOT_l3BLOCK 3
GHES MAR VA'S"T FlRST ADD,
accardirg to tM reccrded plat thereof,
Do'K°}°- Camty, Mimesota
L- 11--) - -1 - F>
PROPOSED 6ARA6E fL00R ELfVATlON= 535.c
P/dOPOSEO Top of BJock ELEVATIONa q3s.:
PROPOSEO BASEMENT FLOOR ELEVAT ION= 93z..o
M?TF? Verify aff floor heights with Final House Plans•
aMKM cWIFIGITlp11-
1 hereby cerfiify that this survey, plan or report '
was prepered by rne or urder my dirert supervisich
ard that I am a duly fdegistere+d Lard Surveya'
ur#er the laws of he State of Mirnesota.
, Date: N
Nayrie D. Cordes, Minn• Reg• No. 14575 /
?
N+p =- -- ' Z '
0
o?
M
H
?
i
, .?,A .. „ _ . ..
•t
l ?
S
E-x-rF:Rzc:R F.:NvEi_.urT: ravERAGE °i.)" Cl:1hIF'I..1'fFl`f'X(Jnl
f14dh1f=:F f-'LFaIV Nf]. '8-05219-7
__..__.. _ ........_ ........................ ...,.... ......._..... ....._..... ..........._..... ....... .....
ti T.'TE /ali)Ftf.-;:f=,S .
? ..... . .......... ..._.........,,. _....._... ........ ._.......... ...... ......,_ . . ,........... _. ............ ..... __ .... _..... .......
f`urrrrrncrOa (j'F:raF Ei.._nEEN I)/afC_ ,`'Si;_'?/£37 F'F-ICII',lE?
DEF T EF:MI l"IE: UJCJFtP; 7: IVCi St:;?UF1RC F (:)OrAc,ae
t E,6 ?5 . 4 () 5
1. Tr..,},-:i.G expca5eci wa1:t area 1711.3 t;q . f k. .].1 li3Fl, 2?F?'
?. lc3t.?a1 roaf/cnili.nq area 1i?.:,7 sq. ft ;: .??;'f.a <_.. . ?
:s. 1-ok.a.l f 1 r_?or- c znt:., ar-E-a ?l =q. { t. v. 026
(ovpr i_tnheated enclnsed arpas) 4. Total f:l.c7or- r.arrt. area `i rq.fit. >c f3
(nvpr unheat.ed P>:pn5ed
5. Tot:al e,.;pC:)EiPf.-J wal.l area at:aove thF.-- flonr. 152"?.Aii5
...........................
a. i'nt.al wc:? l 1 wi.ndow ar-e,-4 . . . . » . . . . . . . . . . ... . . 1 ??7, "--7 176
r,. rotaI Cjf.:1f_7Y" ?1'-Pii...........................
C . ?r?,tai . , . . . . . ? 2., z>211
slidin?a ql?ss dc?or- ,?rF?a......
ci. Tc.) t:.a 1. f ireplace area ...................... ii
?. Tatal. wall fr• -.k m i.nLi arPz (ave. ].O"i.)........ 1J2.c4GS
f. Tr7t.a 1 nat wia1:L ar-ea above t.he f:loor....... 1155. 5u6
g, TntIR l. r•im :jcii,st areta ...................... 140
7(:iTAI._ EXF'OSF_I) f-G1t..1hJ1)F1TlC1N F1F'tE.A ................ 45.895
h. 'T'a±al foi..iridat.icir7 wincioev r-urea .............. ()
i. Tot.al rret fc-m_indat.i. an ar??-A . . . . . . . . . . . . . . . . . 45. t395
Deter-mine °l..l" value of each wal.l seqment.
..
a. 1 37. '7. 76 ,. " (J " ii, 3 y
... :.i:=,.5`i:_;96
h. ;.;7.E.3189 .. "U " ia,ii6 -- 2.269 134
c. 42.2211 .. "U" ia,:;S' .... 16.46622
d . (:) .. " l1 " (.-) -° t. 1 ,
e.
i?r5 4 ii??
>;
"I.J° ,-.
_ ?_>,?i???>,:,._,.?. _ . T . ,..,
J..:>.77y6?;
f. 1155.506 .. "lJ" 0,i14=215 •° 49.93547
4. 140 ;; 'IJ" Ci.ii4iib0•m+ _ 5.695607
hi. ii ,. "I..l" 0.39 -_ ii
i , 45. 095 >; 1.1 o, Ci76161 = 3.495430
EJ .............................. ..... TVtal. 145. 1959
I f i tFm #b :i s the samr as, ar- 1 es= t.Fiar7 i t:.em #tl yOU hav F curr-ent
Pnergy crrclns. 2 Mf.;??afc 1, 1.6Cx_i8 A/1iVt:) U.
r i.i rN. F:xPU.,r.-?> r;()cir / G.F..:ii._.II`dc, raRE A
........... .... C?
F'.. I !??{':,r1I 'f .I Ett:. P."C?C:1'I ! r- ri. 1. i. nc] frinimi nr.t ar'ea » . . . . , ].Q .3 . 7
1. foi.-.al nr.*t f1.?-?k r_ooF/s-ei.l.i.nc:1 ar Pa.......... y:":?. 3
Det.ern,ine "lJ" value For e?ar_.fi r(ac?f/c3q. seqment.
C> - ??
., „
i?.C)269215 - 2.'7`i'?'1'7
.,, l., ?fil" ii?,.,79?F 1 .? :'y . _: . , . . .. ..:.: ? - .,::. . 2742
7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . fca'kal 24. iiE,b:;5
]: f J. t.em # 7 i. s±.Iie± same as, or- 1. PSI> th.-.An i. tF.Prn ##2 yau have met th?
e r-rF? i°qy ccaclP. Fa !il'dn C:). ?'
TOTAL FI._.fJC)R f.-;Ahll , F-1ttiEO (enclo,pci)
. Q
!:7. Tc:atal f l.c,c?r r.=c?rit• fr_?::?n?iriq ?:?r ?r:i tavc?. ii>"/.) . ii
p. Tcrt.al. nF-'f_ i.r7r;i.il.at.ed f.locar-11c-.7nt.. arra ...... i?
I)rt.er- mane " f.l° •,Ia1t..ie for f..,ac_ti floor/r_ank., seqment.
D. ii ;; (),5:74759 = q
p. 75 9 =- <)
f3 ............................... ?...i"rit:.al C)
T. f i tem #0 i. s t.he cCA me a -; or• J. es> than i tem #3 yui.i have mF=!t the
energY cor.le. :r: MC6aFi 1. 16ni?E3 F-1 F•aND U.
TC!TFII.... f'l_.UDFtiC:;G1hfT, Fii";f:::il (r;:p r7s ed)
5
q. l(-Aal f1oc:?ric:ant.. frarninq ar'r;a (ave. 10"/.), C).ft
ir. Tota1 net ir7,ti1ateci !'locr-/ccant.. ar-ea.,.... 4.5
Ue t.nrrni.r7c- "ll" Ya Illf.? {( ::3Y' C?<7C=I"1 'FIC]OY'%Cr-tfl'I'_. I:,egment.
q, "l.J" ??.C) i743, 0 = O.C><_'0'71S'
r'. 4.5 :: "LJ" (J.027894 -- 0.125523
9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . ? . . . . . .'fCSt?=x7. !, J.,`.',?' :_' /F '<
If i t:.em #4? is t.:tiF? syame 1u-, ]. e.,es than i. t.:em tk4 yr)Ga have met t.he
enFrgy cacJe. 2 h1(:AF; i.1E,C!i??-1 A APJI) U.
I FiG:I?;C DY C;L=_RT T F= Y T Hl-l T' .T. HAVf:C;(11_C:l.!I_.f11"F:I) 1-HGa "l.J" F F1G"'fC.1RS ANI:? "h I,
U(-11...UF_.4, H.F.::F1FThd APdD l`HAf IIIE I:t1..1:(L.D]:hlC:i 4dEl"tE I:)E:SCF(IEsrI? MFE;J-S t7Fi EXCE=EL}a
l?hiE: S I lal"f-: C:lf? h1 INNF_SL71 A EhlE?f<(_?Y' f.:L7iVSf.::RVF=Y[7TY JaCI'. %
r ??--???. . .... ......,_...... _..... .., . ........ .._ _.. _......._...._ _ __
{siUn?atu ?
'
`??_"?. .... ? ?.>>..._._:.._.._.._?..._._...... ._ _.. ....... ...._? ....
(date)
' •w
[:)FTE:F{M1h1E "U" VF1L..l.JC_•.:ii'HRLJ 57UU WTTH SIUING ?< G.R.
Interinr Air-...... 0.68
Sheet. Rac1:........ 0.45
Therma-flreaF;...... 0
Stud .............. 6.93
5hP2thi ng. . . . . . . . . 2.06
Siciing............ 0.70
Er:terior Air...... 0.17
Tot.al "Ft" VaJ. Lie. , . , . . . . . . , . l 1 . i iT
i /F2 = "LI" Val ue. . . . . . . . . . . . u,
TNRU IRISULA7IUN WITH SIOItJG & S.R.
7nterior Air......
Sheet Fiar_4t........
l'herma-Fraa4::. . . . . .
Inaulation........
5heat.hinq.........
Sidin4...,........
E>:tPrior- Air......
ij. 68
0.45
Q
lq,/
2.06
U. 7E?
0.17
Total "R" Vali_ie............ :c_'. iR
1lFe - "U" Va1lte............ o.C-)4M.215
TH1RlJ CE I l.. I RIG NIEt"IF+Ef-t
Interior Air...... U.6£3
gheek. Ror_4-1 . . . , .... ().°;N
(;ei ]. i nq Member.... 4.35
Ir•isulation........ _i).92
Sti. .l 1 Ai r . . . . . . . . . ().61
'Tot ?1 "R" Val L.tP. . . . . . . . . . . . .7. 14
1 ff ?1 "U" VCl' 1 U P Y •••?•••.•• w C1 w CY26`'] f`."1
THR(J CE I L. I NC I h18ULATI fJhl
Interior Air...... ii,66
Sheet Roc {: . . . . . . . . 0. 5k'1
[nstalation........ 42---1,
9ti11 Air......... i).61
i
?
Tatai ,?R" Va1Ue............ 43.87
11Ft = "lJ" Val ue. . . . . . . . . . , . U. 022794
? ? .
Inter'i.r-rr Gli.r .. .. .. U.l:,[3
C=Of')r_,. r.?I k . . . . . . . . . 1. ?..:'.s3
[ricLi l iA ti nn. . . . , . . . 11
;::ih eF? t: f',? 4: . ( np t:. . ) .
F...::ter-i. nr- Fai. r. . . , . .
?'n t.R ]. "f?" Ua:l.t_I e..........., 7.:_.1....
].iR = "11.................... 0.(YT6 16 1.
l'fiftU F?.T.N ,]011?i'T
Intprit)r Flir..,...
Insi..i1 tati. nn. . , . . . . .
Fiim Joi.s t.,,,.,....
Piheat.hi. nca. . . . . . . . .
!3i.dincl...,........
F>;teri.r.,r Ai.r......
2.06
() , 7E?)
0. 17
T'f.]t'.e1I nP u V<-R I lAE3. . . . . . . . , . . . 2 4 .7!f:j
a./fi - uLi .. ................ ?!.fl4 f16 03
IJ" val ue f c:rr wi. rrdnw. .......
l.l" vali.tF.- -for tiocar-C.........
U" va].u e fr_) r F'atar.:i 1:1rr>.....
T HF?I_.1 C:F1hJ1 . @ 11E:1`1C?f.-:R (enc1 cT:::>F=c9 )
lnt.tarior :7ir.. .,.,
f-iri9. ,h F=].c:ir..) ririq...
l.)ncJer-1 aYrnP rrt:. , . . . ,
r' ]. YWi n n d . . . . . . . . . . .
. . . . . . . . . . . . .
Y... . . . . . . . .
f i . E,tc)
?-?
C?
tl
ti. "C?
iiE,
1"ci't.a1 "R" VR1iM . .......„.... i.£3'7
/ = ' ? 1. 5 3 75 9
T?1R1_l L::AhJT. @ IIV':UI..ATI(.7h1 ( P.tlClO5nd )
fnt.er-inr- Air-......
F"i.ni.sh F-1aor•i.na...
Ilndcar 1.,-?ymf-.+nt. . . . , .
] ywr..jod. . . . . . . . . . .
5rieet flor_E?:........
5t.i11 air.........
s). 60
ii
ii
Q.6 i
?
Tt7ta). "Ft" V:al. ue. , . . . . . . , . . . ].. Fl'7
I/R ?? .. ?: ? ??
_ . . . . . . . . . . . . . . . . . . . ?.r. ..? ..: 7 ?
I
I F Ifil.) f;F4i'•.I T. :.a MEI°I[?F R k' fanc .i, c) sr•:=ci 1
( ntf- r-'i. Car- Fla r' . . . „ . . () , 6 E1
F- 7. fl l 7..i1l F 1. f:)(71" 1. flll ... .?. .::'..:?
Uf'1(iC-,Y'I r,?y (i1F?(lt'....... ?.1
C').VWC:)pCj,.....,.,..
J f.:)). St'. . . . . . . . . . . . . . .C .?. . ?'?f::
.C.7flE.?rlt'.f11.f1Q. . . . . , . . . .t.!)h
fri.t...?.,...,.,. o.7 s;a
teriar- 0 i.r. .„.... ii.1.7
1f.:lt;.eiI iiF'kii Vc'l.Il.lE.',.... ...,,.. 17 .1I I
1./ft -- "1.J" ........... .......ii,ii:-:;74:'. 0
1"11Fi!J C:ANI.'. @ 7PJSUL...RI"IUh! ( e;;t.rm irrr )
intFar- i. c:ir- ?ai r. ..,.. (J. 68
Fi.nitih FJnri.nq,.. I..t?_T
l.lrid]. aymr?r-I t. . . . . . O
F`1 VWC'?Of_i. . . . . . . . . . . 1.?.
In5 t.i.l.A t.i.() n........ Q
;hPathi ncl . . . , , . . )6
f,affit............ C>.7F#
?lal?_ie. . . . . . . . . . . , -,r:;. 85
1 :F; ?... "U" ........... .......?r,CrL'7f3V 4
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150647
Date Issued:07/18/2018
Permit Category:ePermit
Site Address: 1063 Kirkwood Dr
Lot:12 Block: 3 Addition: Ches Mar East 1st
PID:10-17150-03-120
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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: 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 -
Timothy R Hall
1063 Kirkwood Dr
Eagan MN 55123
Norwest Contractors Inc
1370 Crestridge Lane
Eagan MN 55123
(763) 420-8268
Applicant/Permitee: Signature Issued By: Signature
To: 6516755699 From: 7637108061 _ _ . _ __ _ _8:15-18 2:34pm ..p, 2 of 2
E AG A N
y i /For Office Use I
Vis r,' ^ I
•� �� .„•0...•,•
Permit#: /��ctI
.......
^� Permit Fee: Gf%... ( '-- ‘
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 Date Received:
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694
buildinginsoections,a'�cityofeagan.00m Staff:
L .,
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 8!15118 Site Address: 1063 Kirkwood Dr
Unit 4:
I Name: Timothy Hall
Phone: 651-208-7835 7
a Resident/ jAddressfCit /Zi : 1063 Kirkwood Dr, Eagan 55123
l
i __ _� "� Applicant is: Owner X Contractor I
Description of work:
Type of�" Replace existing overhead garage door on attached garage. '
Work 1
F 2000.00
% i Construction Cost: Multi-Family Building: (Yes /No X ) I
Company:AA Garage Door
Contact: Dave Sands l
Address: 562 Lundy LN Hudson
1 Contractor 1 City:
WI Zip. 54016 651-702-1420
dave@aagaragedoor.com E State: Phone: Email: 1
lNAT-671642
! License#: Lead Certificate it 3
f If the project is exempt from lead certification, please explain why: I
i
F ;
r
I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
l In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? S
Yes No If yes,date and address of master plan:
1
Licensed Plumber: Phone:
I
Mechanical Contractor: Phone:
Sewer&Water Contractor: :
Phone:
4 Fire Suppression Contractor: Phone:
I NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the Information may be
I classified as non public if youprovide specific reasons that would permit the City to conclude that they 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_cityofeagan.coru'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 Slate 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. w^nw.00Dherstaleonacall.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 app .,,alof.tans.
xDeborah Nyasende I
Applicant's Printed Name x ' t 'igna ure "
.plicant's Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA175107
Date Issued:03/14/2022
Permit Category:ePermit
Site Address: 1063 Kirkwood Dr
Lot:12 Block: 3 Addition: Ches Mar East 1st
PID:10-17150-03-120
Use:
Description:
Sub Type:Furnace
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Chase & Katelyn Burnham
1063 Kirkwood Dr
Eagan MN 55123
Haley Comfort Systems
3708 Broadway Ave N
Rochester MN 55906
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA178000
Date Issued:07/27/2022
Permit Category:ePermit
Site Address: 1063 Kirkwood Dr
Lot:12 Block: 3 Addition: Ches Mar East 1st
PID:10-17150-03-120
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
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 -
Chase & Katelyn Burnham
1063 Kirkwood Dr
Eagan MN 55123
(920) 609-7752
North State Mechanical
1444 14th Street W
Hastings MN 55033
(612) 207-0345
Applicant/Permitee: Signature Issued By: Signature