The URL can be used to link to this page

1068 Kirkwood DrCASH RECEIPT -? 7 CITY OF EAGAN ? 3795 PILOT KNOB ROAD wacswm rRdA EAGAN. MINNESOTA 55122 DATE ? AMOUNT 1 $ I I Ee DOLLAR3 1 oo ? CASH F-1 CHECK FOR , " ? FUND COOE AlAOUNT Thank You BY I ? White-Payers Copy Vellow-Posting Copy Pink-File Copy BUILDING PERMIT Te be wed fw CITY OF EAGAN 3795 Pilof Kneb Roed Eeyen, MN 55122 PHONE: I54-8100 Receipt # $f;() i Site Addreu Erect . .,. -r , Lot Block Sec/Sub. ? Aiter parcel # Repoir Enlorqe W Name Move ; Addross Demoliah r:? w...- Grade ? Name _ o ?? Addrcss f- n.., ° 6" 67 netL}')e2 7'' , „ I ? Occupancy p Zoning ? Firc Zone ? Type of Const. ? # Srories ? Length .-. n.._.1 o_ c. Assessment Water 8 Sew. Police Fire Ery. Pianner Council Permif Surcharpe Plan check SAC Water Conn. Water Meter Road Unit I hereby acknowtedge that I have read this application ond state that Bldp. Off. ihe intormation is correct and ogree to comply with oli appliCOble APC Total Stote of Minnesota Statutes and City of Eagcn Ordinances. Sipnoturc oi Pertnittee A Building Permit Is issued to: on tfis express condition Ihai all work shall be done in occordance with all opplicable State of Mfnnesoro Statutes ond City of Eapan Ordinances. Bulldirq Official Permit No. Permit Holdsr Misc. Permit No. Holder Plumbing ;Z(D3? r41b N.V.A.C. Cony-?n Wsll Watsr Disp. s T79qc---)' D2 -TCc? Iz-`t-Y? C?,c?-rc? ?.5 ,-`i/o ?•c ewa??? ??IS Dvk-= Cech co -z1??1 Tzctq53 Inspeetion Date Insp. Other Footinps Foundation Freminp Rouph Plbp. Rouph HVA Inwlation Final Plb¢ c4/ Finel HVAC Final .30- ? W wo.r wwie. Locnion: L Nkll Sawsr ? Pr. Disp. Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee fill in numbered spaces S/C Type or Print /egibly ? ? I Tot. 1. Date ' y 2. Installation Cost ?? - I? (-, ° „< I R w tJCrp 17? r"r 3. Job Address LotLZj_Blk. ? Tract _ I 4. Owner /L / L 5. Contractor / ? ? ? 5n ll/ Q ? ? r Phone 6. Address t?I;! 7. City ' k State Zip ' - 8. Building Type: Residential L'7 Commercial ? Institutional ? I 9. Work Description: New nJ Add ? I 10. Describe I 11• Alter ? Repair ? ? y _Fuel Type No. Eauioment STU - M. Ea. Forced Air No. Equipment CFM Air H ndli : Mfg, a ng Boilers _ Mfg. _ Mech, Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 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 F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Re i t P / ce p LUMBING PERMIT Permit No. CITY OF EAGAN - Fee Fill in numbeied spaces S/C Type or Print /egibly Tot 1. Date 2. Installation Cost ? 3. Job Address 'C) JV, Lot `t Blk. .' Tract 4. Owner „ i 5. Contractor??? ? Lit /Li.cPhone ' - i 8. Addrees 7. City. ,6 ' State Zip ' 8. 8uilding Type: Residential 0 Commercial ? Institutional ? / 9. Work Description: New b Add ? Alter ? Repair ? ? 70. Describe ! 17. 1 12. No. Fixtures Water Closet No. Fixtures C D Bath tubs esspool / rai nf ie ld S _ Lavatory eptic Tank f _ Shower So tner W l _ Kitchen Sink e l _ Urinal/Bidet h O Laundry Tray er t Floor Drains Drinking Ftn. Sl i op S nk Gas Piping Outlets 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 I ?? - INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: •!: .:?7:,i? 7 7.. I 1'?I ?0, 1, i V.r, PERMIT SUBTYPE: TYPE OF WORK: f<UTI h1N1 0.1., a3 t fD! : 0 1 /(41 Permit Holder Date Telephone M PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUM8ING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HT6 ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITV TES7 HVDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FfG DECK FINAL t;ITY OF EAGAN Remarks Addition CHES MAR EAST FIRST ADDN. Lot 4 elk 2 Parcel 10 17150 040 02 Owner c'l''- ? •Street_ oK?T?CWO(?CL DY1Ve State Eagan, MN $$122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. .L 4 524.43 STREET RESTOR, GRADING SAN SEW TRUNK 11 112.00 A012792 9-20-83 *SEWER LATERAL G 1358. 09 WATERMAIN *WATER LATERAL iggi WATER AREA 112.00 A012792 -Z - STORM SEW TRK ?v 140.44 A012792 9-20-83 *STORM SEW LAT lgRl CURB & GUTTER SIDEWALK STREETLIGHT Road Unit 185.00 27414 10-22-81 WATER CONN. 335.00 27414 10-22-81 BUILDING PER. 6967 snc 525.00 27414 10-22-81 PARK CITY OF EAGAN WATER SERVICE PEItMiT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: _ No. of Units: Ownec - Address: Site Address: -" riiY00c' Piumber. ' <x+:a.v=tC ` Meter No.: Connection Charge: ' - Size: Account Deposit: Reader No.: Permit Fee: 1 agrea to eomply wilh the City of Eagan Surcharge: Ordinoncea. Misc. Charges: ' Totol: BY Date Paid: Date of Insp.: InSp,; CITY Of EAGAN SEVUER SERVICE PERMIT 874S PNM Knob Roed pERMIT NO.: Fagun, MN 55122 DATE: Zoning: No. of Units: Owner. ? A ; Address: $ite Address: Plumber: r , 1 ayrea ro eomply wilh !he Ciryr of Eagan Connection Chorge: Ordieencei. Account Deposit: Pertnit Fee: Surcharge: By Misc. CFarges: Dote of Insp.: Fotol: Insp.: Date Paid: RESIDENTIAL BUILDING PERMIT APPLICATION ?4 ?p CiTY OF EACAN 3830 PILOT KNOB RD - 55122 ?p G? 651-681-4675 New Construdion Requirements RemodellReoair Reauirements • 3 registered site surveys showing sq. fl. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 sKe survey (or exterior additions & decks • 1 set of Energy Calcula6ons • 3 copies of Tree Preservation Plan if Iot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE 1 V I I O 1 Dj VALUATION (EXCLUDING LAND) JOB SITE ADDRESS- [O OI,cY?tif'?, IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER ??au Q N' S\a2, a1? &h(2, IT-)i'1 TYPE OF WORK APPLICANT ADDRESS PAGER # ZIP CODE cSI Z NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY ??r Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 ?' ID (check one) - Residential Ventilation Category 1 Worksheet Submi - Energy Envelope Calculations Submitted ? ?G..r , J ? i MINNESOTA RUI.ES 7672 - New Energy Code Worksheet Submitted gy -? ? Plumbing Contractor: _ Plumbinb System Includes Mechanical Contractor: _ Mcchanical Systc:iu Includes: Sewer/Water Contractor: Air Conditioning Hcat Recovery Systccn Phone # Phone # Tee: $90.00 Pee: $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 Ordinance Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ VVater Sottener Water HeaCer No. oF 13aths Phone #: Lawn Sprinkler No. of R.I. Baths FIREPLACE(S) _0 _1 _2 _3 PHONE # ?oSI- e&1-l MR Updated 1101 CELL PHONE # FAX # OFFICE USE ONLY ? 01 Foundation ? 07 OS-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 (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N:_ ? 25 Miscellaneous ? 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 (Bidg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bidg only) - Give PCA handout to applicant Valuation Occupancy MC/ES 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) _ FinaUNo C.O. _ Footings (addition) Plumbing FoundaUOn HVAC Drain Tile Roof Ice & W ater Final Other _ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone _ Insulation _ Windows (new/replacement) Approved By , Building Inspector -------------------------------------------------------------------------------------------------------------------------------------------------------------------• Base Fee 2-g- . i.5 Surcharga ? Plan Review - MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit iblechanical Permit License Search Copies Other Total ZRTL5 BUILDiNG PERMIT N° 6967 Receipt # To bs used foe SF ?/(;%R Est. Volue $60r000 Date OctCber 22 _ Iq 81 Site AdQress 10158 r rlve Erect ? Occupancy R 3 ' 4 EaSt 1St qlter Block Sec/Sub. ?eS MdL Lot ? Zoning parcel # 10 17150 040 02 Repair ? Fire Zone NA E l f C ? T Name B 1 12 COI15t. CO. n arge M p ype o onst. Split - Walkout i # St W ? Address 644 Superior Court ove Demolish p p or es Length 41 ci Eagan Phone 454-1438 Grode ? Depth 48 Sq. Ft.- ? 0 N,me Owner Avvrovals - Fees o? Address Assessment Permit ? ?? Water & Sew. P Surcharge 30.50 hone Police Plan check 158.00 ?W No^1e Fire SAC 525.00 ?? Address Eng. Woter Conn. 335.00 iW Ci Phone Planner WoterMeter 60•00 Council Rood Unit 185. 0n 1 hereby acknowled9e that I rad applicotion and state thatBldg. Off. the informotion is correct a omply with oll opplicoble $tate of MinnewTa Statutes 4 APC Ea9 Ord' c8s. Totol Signoture of Pertnittee 1 ie truction CA. A Building Pem+it is issued - on the express condition thnv oll work sholl be done in accordance wi ull pli Stota of innewto $tatutes ond City of Eagcn Ordinances. Building Offlciol _ CITY OF EAGAN " 9795 Pilot Knob Road Eegan, MN 5042 PHONB: 454-8100 ?,?? ?S S i4 r?.? ? A ; / ? ?? ,(, •?l iv I-'(S CITy pg EAGAN Include 2 sets of plans, 1 site plan w/elevatians & gLTILDING pEgMIT AppLICATION 1 set of energy calculations. 2b Be Used Forc;,o?,c? Vapluation Date (1?,7-0 Site Address '.pFFICE USE ONLY S T? r-ot ? siocak seo./s?. ?Er t ? occupancy Parcel #: 1O??l Alter Zonirig i-0 Repair Fire Zone owner: En7.arc3e Zype of Const. _ f Nbve # Stories - o, Address: Datnlish Front g/ ft. City/Zip Code: Grade Depth ft. Phone # : Contractor: ^D5? Address: City/Zip C.ode: Phone #: Arch./Ehg Aclclress : City/Zip Code- Phorie #: 1 APPEtOVALS FEES ASSesstp`ilts Permit • ??i? ? o [aater/Sewer Surcharge 3 n Police Plan Check ?? Fixe SAC S2 5 ?- Eng- Water Conn. 35,5 Planner 60 Water Meter Council Road Unit TS, 5? Sldg. Off. APC ZOTAL ??1 d q t s . ;. `Cne??ifir?ttr uf (?9rr?t?ttnr? ; . . Citp of eagan MP}tar#rrirltt of l1Itlbtrig l2tS.pP[fttttt Tbu Certi ficate iureed purlxan; ro rhe rcquiremau.r of Sutron 306 of thc Uni form Errilding Codc certifring tbat at the time of iuuarae thit structure was in compliance witb tbt various ardinaaces o f tht City regHlating bnilding ronstractron or u1e. For the f oUouing: SF I7WG/GAR M.-ft„o,N,. 6967 u.c1UM1wuM o?w?rTrm ? irwc?uW?l-FU.z.. NA z,,,r,&owkt PI? a???? Blilie. Ctinstruct. ,?,,,? 644 Superi.or Ct.. Eagan F. aadw.,,44= 1068 Kirkwood Dr. ,,a.,;rylpt 4. lo k CSips Mar. ?pk .? t ?"..Z 3?a?t ??, ?': . ?-O,? ? D,,,: April 30. 1982 lst .C., ,N . ? ?. I OGO[9 ?tll LITNO? U.S.A. ? "Im REQUEST FOR ELECTRICAL INSPECTION ea-ooou - 79953? - See instructions for coir,oleting Ihis form on bock of yellow copv. i "X" Belaw Work Covered byThis Request ,Q-7 -7 p? New Add ReV.4 Type of Building AnPlinnces Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Gghtiny FixturPS ' Apt. Buildin,y Dryer Electric Heatin Commercial Bldg. Furnece, ilo Unloader - Industrial Bldy. Air Conditioner Bulk Milk Tank Farttl Other Speufy Other ISUacltyl Other Specifyl pther Otherc.ompute inspecrion fee delo U "Fee Service EntrenceSW e Peeders/Suhfee.ders # Fee Circuits D to tOQ An 0 to 30 Am s 2.t?U 0 tn 30 Am ( ' 101 to 200 31 to 100 Amps CvO 31 to 100 qm s Abo? ? Above 100- Amps Above 100_Amps Trans "Wr5 3 Remote Control Circ. '-D Partial/Other Fee Signs " Special Inspection OTAL FE ? Remarks ? ( Rough-in Date 1, the Electrical InSpector, be?eby rtif th c t th 6 Final - aiP 3 y a a e a ove pection has bean inis mquest voitl 18 nionlhs frorn This request void 11?1? 8 mon,[hs trom ? a 79953 `C 7 r CDCU RenUest Oatc , Fire No. Hough-in Inyuect ion R q? red? . ?Y [:]Headv Now Will NotifY Insuec- m Wh R ? CS Nn r en eadY s Licensed Elec[rical Co?nytraclor I hereby request inspection uf above ? Owner /rl k w ?}? ? ex:xz)- electrical work installed aC ?? V Street Address, ox or Route No. L ?, City /,Z . & Z 4+4W,,t ? /S - ` ecvon rIto. Township Name or Nn. Rnnge No. C irnty I I _VK?^G'4" Occupant (PRI TI Phone No. 1 I,n n Pow upV ier ? J Address Eleclri Con aCtnr ICOmpany N2 C) I'J . . 4 nira<;tor'S--LiCense No. 6 x-C1 `^-4 'C - 3!z Mailin0 E+ddress (Contr -[or/o?rOwne/r Makfng Instailation i ? '?..?'?'° ?.lS ?3 Authorized Si Wr I ontractor wner Ma irg ta a iunl - PhoneNurt,ber ?CZ C) 31??^ MINNESOFC sT4TF gpp,pD OF ELECTRICITY - ? ` 7HIS INSPECTION AEQUESTWILL NO7 Grigqs-Midway Bldg. - Room N-191 ' BE ACCEPTED eY THE STATE BOARD ` 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phnnn 16121 797_7171 ENCLOSED. c .M /0 20 CD This request void ? t 18 months f?om -2? ?? ? Dat f his Request ??" L ? ?&I Fire No. ? 34945 I, as icensed Electrical Contractor ? Owner, do hereby request ins ection of t e above electri- cal Fing installed at: &,Qp„ ?y,? L7? Street Address or Route No. k?-C'ty Section Townshi (0?? Xc-rkwoo ange County ? Which is occupied by (Name of Occupant) Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Cally Power Supplier ? ?? _0 Address 19 Electrical Contractor o ? Contractor's License No. (COmpany Name) SU Mailing Address Authorized Sign I 4 (Electrfca raceo o w er Making 7his Instaltation) Phone No. ??? al contract oror own r r aking Tni nstallatlon) C ?g??( ? ?? QOPW This ins ction request will not be accepted 6y the FJ State Board unless proper inspection fee is enclosed. Mmnesota State 9oard ofElectricity Griggs Midway Bidg. - Hoom N191 1927 University Ave., St. Paui, Minn. 55104 - phone 297•2111 RE,QUEST FOR ELECTRICAL INSPECTION CHE?f+K BELOW WOItK COVERED BY THIS RF.nUF.ST ES-00001-02 T 3?94? Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ? ? ? Range ? Temporary Wiring ? Duplex ? ? ? Water Heater ? Lighting Fixtures ? AptBldg. ? ? ? Dryex ? Electric Heating ? Commexcial Bldg. ? ? ? Pumace ? Silo Unloader ? lndustrial Bldg. ? ? ? Av Conditionet ? Bulk Milk Tank ? Farm ? ? ? List List Other ? ? ? p eIets ereets? H COMPUTE INSPECTION FEE BELOW l 1 Sexvice Entrance Size: # Fec Feeders& Subteedecs: # Fee Circuits: # Fee 0 to l OD Am s. 0 to 30 Am eres 0 to 30 Am eres 101 to 200 Amps. 31 to 100 Am res 31 to 100 Am eres Above 200 = s. Above 100 Amps. Abave 100 Amps. Transforme `. moteControl Cicc. Partial or other fee Signs ecial lnspection Minimum fe Remazks ? TOTAL FE I, the Electrical Inspector, hereby certify that the above inspection has been made. ` (Rough-in) Date (Final) ate This request void • ? 18 months from ' REQUEST FOR ELECTRICAL INSPECTION ???•?"'?? EB-ooooi-os l ? instructions br completing this form on 6ack of yellow copy. ??- "X" Below Work Covered by This Request ?"<???a=r 0 058 =46? New A* Rep. ' Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm.llndustrial Furnace Other (Specif Farm Air Conditioner Olher (speoify) Contractors Remarks- Compute Inspection Fee eelow: f+YCLED AIR 41 # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps 100 Amps SIgY1S Inspector's Use Omy. T?TAL '? Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. i, the Elecirical Inspector, hereby if h h b i R°u9n-in oace cert y t at t e a ove nspection has been made. Final oaiz, ? OFPICE USE ONLY This request void 18 months irom //,0/ 15 ? si167 0 058 -46-d 71,1 Mi. l ? /-V *avCA:) Request Date Fir No. Rough-In InspeliLibin Requvetl Inspec[ion Other Than Rough-In (YOU must call inspector ?whe"n' reatly) ??y1 Ready Now N Will Notify Inspeclor ? Yes v-e?o DaTB Reatly I'.?licensed contractor ?owner hereby request inspection of above electrical work at: Job Atltlress ISireet. Box or Route No.) ??? ? City ? 6 ? ? /< ??C ?CiC?I!J / r . 1 ? nship Name or No. Range No. County = Dakota Occan[(PR INT) Phone No. / ? Po?oer Supplier Atldress Dakota Electric Assoc. Farmington Elecirical Comractor (Company Name) dale franKe i=iectnc mc. Coniractor's License No. ?x?tst '?'?'??Ibn`°L°a`?ieE:?pme?'a?'?y MN 55124 Authorized Signature (COniracbdOa?ner Making Installation) Phone Nu yj. \ _6364 4 X_ --I n ILt,- ?I II III IIIII IIII ?' p'll IIII II? I?I UNLESS PROPER INSPECTION F OEE I? G82 gU Mve s y q Q.B RoP m S?N 85 'Oq Iq7V T Phone I612) 642-0800 ? II I IIIII U N . ENCLOSED. 651 739 3659 FROM : S&R RPPLIANCE REPRIR INC CIV of Eaian 3930 Pilot Knab Road ? Ea$an MN 55122 Phone: (651) 876•5675 FaY:{651) 678-6894 FAX N0. : 651 739 3659 14.4K Mar. 31 2608 02:23PM P1 ?--------?__-----: ! `cr 6tf?.Use I ? i Pertf+%? #• ? I ? Per*nit Fee. I ? ? Dale FeccivEd: I i ? i smp. ' , ?----------------- 2008 MECHANkCAL PERMIT APPLICATfQN IIate: ?• ? I?? ? sits Address: & & O IL rt 14-4)Do 01 40ri SuiEe N. Tenam: S? 1,?. ? . hame: Pa oh ?'a ,: pQ s 9, RESIDENTIOWNER ?a /kI N ! Z- nddreee r crtr fz;a: COhITRACTOR Na"ie; ss l.lcense#. Addf65s: Zip: /? 9tate: e 6 7j? , _ -.- _ Ci(y: L!I j r phwe: Contact Perssfn: TYPE OF WORK ? Ne"' ?. Replaaament -Addkion2l _ Alteration -Demc,ition ? ! DestNpuanofiwort: NpTE::soth:coof mou»fed end gr0atert??tou0ted meehenlcaf equipment rs reguirsd to de sc.raaned py C?ty,coda. Please eor?tatt tAs Mact?anlea? ?nepecrw or ona o? rha Plaiiours iiw Info?n+8tion on eirrtJtted screenin metbad9. RLS1DpNTlAL COMrtAEl2CfAL PERMITTYPE ? Fumoce _NewGons+tuctlon Interiorlmprovement inaSiU Pipiny PfOCeSSad Ait ?ifionor ? ?? r HVAC CDas ? n Ai(Exchangar - he scrzened ts must iud qG Haae Pwnp UnderlAbove ground Tank L_ 1r,ctai! Rerneve} ?,L, _ "1Mr+en ina?eliu,gkemeving ?ank(a1, eeA for InsDectiort 4 rMrs , qAprshol snd ON1MD REsrDEuriAL AeEs: $30.30 Minimam Add-on or alterati4n to an exiSiing unit (lneludes $.30 State 5urdaarge) $80.50 Flre repaif (reaaoe bufrted out anpl+ameoa, dL=work. atc.? tindudes $.bO State Surc-herDe) TL)7AL FEE COIKMERCTAL FEES: S7040 UI1dergrOURq tank inStaRationrremOVa1 OR Contract Value $ x 7% SSO.SQ Minimum (neludes 9tate Surcharge) ? g PBrmi[ Fee - if PAW EU is teas then 61,000, surchame a 5.50. - If Peit Le i¢ >wpp, wrU+a tgt iMo0aA0C by ti.60 f0r 98Ch +$ State SurchargQ S1.00D Psrtnit Ffle ([.e. e 51,001•32,OflO Permit Fee raqulres s f t AO curcPWrqi). s soraL F" I harGby adax7wl2"a ttiet th!3 aNOrmatwn ie wmp490 ontl oaureto; tPdt 1n6 vlOfK wYi D9 m eenrormanee wiv+ ine erairtaneea ena caoes a mv i.iry vf espa^: mat I uneeeelmM lhh if net a p&nhh, cUt enry ibn appneatlen fpr g parmil. 000 wwk is not tb SIDrt a4t10Ut : 7iel tlTi wWK w In eCpatlAMG vAlh tAt ODprOrCd •n In the mae ofwork wHkti roqutrea e revtew anG approvai e( pianc. qpplfoenCs Ptlnted Name AppliCdAE's 3igneiure FGRfliFICE USE Reqwl?aa IncpocUons: ?:Undar Ground .?,_„Roug?ot m_AirTesl,. _Gas SeMce Test _tn-flcer He2i Finaf. (_9 qo-lq 2005 RESIDENTIAL BUILDING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New ConsWctlon Requirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20°,6 marzimum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured found design, elc. 1 set of Energy Calculations 3 copies o( Tree Preservation Plan if lot platted after 7/1l93 Rim Joist Delail Op6ons selection sheet (buildings w'rfh 3 or less units) Telephone # ( q / Date ? 11 I ? ..? Construction Cost Site Address VA WWQ711) Unit/Ste # Description of Work 1,AJ5MAL lTT7 Ii`) 7LT Ir'`JU L?l4714.7` Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 Kd _ 2 Property Owner Tetephone #(?? ) NS' <</&/ , T 1? ? L? Contractor ?? ?? ???-? _ Address cTJ-? la?? t City State ?,?p Zip ? Telephone # (q?-)b7?9/? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor 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 pe 't, and work is not to start without a F_ '- •- -- permit; that the work will be in accordance with the approved pl in the c s f work whi h r, EquireI? s-a re rewa? approval f plan !J As w ? j?NiaY 2 aN I Applicant's Printed Name Ap icant's Signature p RemodeUReoair Reouiremenls Office Use Onlv 2 copies of plan CeA ot Survey Recd _ Y_ N 1 set of Energy Calculations for heated addffions Tree Pres Plan Recd _ Y_ N 1 sde survey for additions 8 decks Tree Pres Required _ Y _N Addition - indicate if on-site sepfic system On-sRe Septic System _ Y_ N OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pooi ? 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 0 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 Plbg_Y or _ N ? 25 Miscelianeous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation 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 REQUIRED INSPECTIONS _ FinaUC.O. Final/No C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Building Inspector RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN ? 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Constructian Reauirements • 3 regis[ered site surveys showing sq. ft. ot lot, sq. ft. of house; and ali roofed areas (20% mauimum lot coverage allowed) • 2 copies of plan showing beam 8 window sizes; poured found design, etc.) • 1 sel of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist DeWil Optlons selectian sheet (Wdgs with 3 or less units) DATE J l ^ ? ? v `?' br- SITE ADDRESS a(o'? Ktr ?< w TYPE OF WORK RemodellReoair Reauirements • 2 copies o( plan • 1 set of Energy Calculations for heated additions . 1 site survey for exterior additions & decks . Indicate if home served by septic system for additions ?a VALUATION ? d O O ' MULTI-FAMILY BLDG _Y ZN APPLICANT FIREPLACE(5) _ 0 _ 1 _ 2 r, S?d ?i C-l-/ G?.. + C O Y? i't Q C t/ n A C O.- STREET ADDRESS aa?? I M`=? SY ?I L?,_) CITY V??5 L5k'P STATEr ZIP S S.? O°J TELEPHONE #a-G3-(,SSdCEII PHONE # C?ra-? 35-?'O??U PAX # PROPERTYOWNER PGu t Sc- k e(0o I+Cc,'_ TELEPHONE# C sl" ll OS- ct.? 6 / ----------------------------------------------------------------------------------------------- COMPLETE TH15 SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RtiLES 7670 L'ATEGORY 1 MINNESOTA RULTS 7672 (4 submission type) . Residenlial Ven6laUon Category 1 Worksheet Submftted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # _ Plumbing system inciudes: Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical sysCem include s: Air Conditioning Fee: $70.00 Hea[ Recovery System Sewer/Water Contractor: Phone # nLIS f1 Fn a7p i ? : ll ll. _?_ (?i ............................ --...... ------------------°---------°------------------°------ --- ?8?}?--? --- I hereby acknowledge that I have read this application, state that t informa ' n is correct, and agree to c ply with aIl applicabie State of Minnesota Statutes and City of Eagan r T ina es. I Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex 0 OS 03-plex ? 06 04-plex ? 07 OS-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace O 09 07-plex ? 17 Garage ? 10 OS-piex ? 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 Misceilaneous ? 30 Accessory Bidg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 DemolisM (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bidg only) - 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) FinaUNo C.O. _ Footings (addirion) _ 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 _ Fina] _ Windows (new/replacement) _ lnsularion _ Retaining Wall Appraved 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 PERMIT# ??o S?(-e RECEIPT DATE: EOOE WISID£PTIAL PL[JM$INfi PEEtM1T APPLICATION CITY 0F EAL6AN 9$30 PILOT K1VOB iiD EALeAlv, auv 55122 651-6$1-1675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITE ADDRESS: 1OCgkl?'kwao A Dt- OWNER NAME: :??. ?. ? Scl1.? Iov? ? TELEPHONE #: ` (AREA CODE) INSTALLER NAME: 1?ati ) S c?52?oY1 k a. TELEPHONE #: 6S (-°1dS -0136 ( (AREA CODE) STREET ADDRESS: ?d b`6 K? f?.' ?••ic?Cl Q(` CITY: F-4 STATE: mN ZIP: S?S) Q'-? _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) includes $40.00 County fee $ 100.00 Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water tumaround - existing dwelling unit (+ 5/8" meter if needed -$118) x Other: jki'-?c1.4n ssy)k ?O0 W? C-e-vVLO ? _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system ReplacemenUadditional: _ water softener _ water heater $ 15.00 State Surcharge .50 Total $ ? I hereby acknowledge that I have read this application, state that the information Is corcect, and agree to wmply with all applicable City of Eagan orcJinances. It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages raused by the City during its normal operational and maintenance activities to the facilities constructed under this per wi r'.n?City?oC? y r?t-of-way/easement. SIGNATURE OF PERMITfEE 1/02 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN C) 3830 PILOT KNOB RD - 55122 651-681-4675 -'?n.o a_V'.S NewConstrucfion Reauirements RemodeVReoairReauiremeMs • 3 registered site surveys showing sq. fl. oT lot, sq, ft. of house; anckll roo(ed areas • 2 copies of plan ? (20% maximum lol coverage al6wed) . 1 set of Energy Calculations for heated additions ? • 2 copies ot plan showing beam 8 window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks • lsetofEnergyCalculations . Indicate'rfhomeservedbysepticsystemforadtlitions • 3 copies of Tree Preserva6on Plan'rf lot platted after 711193 • Rim Joist Detail Optlons selection sheet (bldgs with 3 or less units) DATE VAWpfION o°O JOB SITE ADDRESS )a6% kir?wooA t?3`. ?AhAV? MN SS??-? IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER R,) S?4u.lov??co? TYPE OF WORK 12,ernaixI FIREPLACE(S) _ 0_ 1_ 2 APPLICANT T)?,,j 5c_i\g6y\V0. PHONE# bSl ADDRESS 146s' k? v-kwm a tsr. F?.? ,,, M ?•I ZIP CODE S?la3 PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor: Mcchanical System Includcs: Sewer/Water Contractor: All above information must be submitted prior to processing of application. Phone # Phone # Fee: $90.00 Fee: $70.00 ! IaIV 2 5_9f1 i hereby acknowledge that I have read this application, state that the information is corr t and agretdcomply? with all applicable State of Minnesota Statutes and City of Eagan Ordinances. °--•°- Signature of Applicant r p'_q MINNESOTA RULES 7670 CATE GORY 1 - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULLS 7672 - New Energy Code Worksheet Submitted Phone #: Water Softener _ Lawn Spruiklcr Water Heater 1Vo. of R.I. Baths No. of Baths Air Conditioning Heal Recovery System Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 OFFICE USE ONLY ? 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 - Muiti ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ?< 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF 0 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Yor_ N x 25 Miscellaneous kfl4M.bLljrz?z. ?•????????A?_ ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code , ? ; 6, `a ? u Zoning City Water SAC Units (91 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) -x FinaUNo C.O. ? Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests _ Final -( Framing - _ Siding _ Stucco _ Stone r Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By Building Inspector ------------------------------------------- Base Fee ----------------------------- ---------------- -------- '------------------------------ ------ ---------- ----- ------- Surcharge U Plan Review 19 (3 • ? ? ? ???T?? MC/ES SAC 1 ? s v? CitYSAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ?"'{ Q1 "?.$?o ? r.r- ?..??.Y4f .-.. FAC.IN r.. _ ?_?. !Gz(?,'.r.E? .,... _ ..?_?. r?i ...?...?_?::.?.,'I? ::1 ? I .. _i .: ? .t1:'.i? . . , _ .... ..... .... ? . . T';A.._.,'., f.l..., r+.?..,/,.?,V, .,... ,'.i?.. ? _. ?r 2 _... _..... "_ T P , ._.,y,C ?., . ..ttJ;?n'I_?Y? i?` rr? r.t.l•.J ... .......- ..t._. -1-? .r.. c. ... ...r.7?...: ".{:ii(.' 9c".i 106P K =:xpoop r?, 7yL7_.) 2'.°i9001 :?. t.. :. :? 7`ryS I:. IRF: .Wr.lli.." D 1.50 ".`;t'F ... . . .. . _ . { r.?. F.L i:'i11? i'. ..c . .a f,... . . -I ?i ;^"'?r?[? • -i'. . (? 1...: `i.; ?r':. '?._.,,,.,,....... . T:'f CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: B U I L D I N G Permit Number: 032437 Date Issued: 07/07/98 SITE ADDRESS: P.I.N.: 10-17150-040-02 1068 KIRKW00D DR LQT: 4 BLOCKs 2 CHES MAR EAST 157 DESCRIPTION: RERooF p+'ildi'`n'ij Permit 1'ype J3uildingm IW;ork Type 1-4 Cen sus Coele r ynl ? ? w ??... sF (mxsc.) flLTERATSON 434 ALT. RESIDENTTflL SIffi ?x 1 '?'{t '3 k ?+Na t v k a? ?F a ? ?zz ?? f tk k ni., w-w a 4 .S.w?? 4?1 EA? REMARKS: FEE SUMMARY: VALUATIQN Base Fee $74.75 Surcharge $1.50 Total Fee $76.25 $3,000 APPLICANT/PERMITEE SIGNATURE I S ED M. SI A URE PERMIT ? ? 1 ? Z 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 New Construdion Requirements ? 3 registered site surveys ? 2 copies of plans (include 6eam 8 window sizes; poured fnd. design; etc.) ? 1 energy calculetions ? 3 copies of tree preservation plan if IM platted after 7/1193 required: _ Yes _ No DATE: RemodeUReoair Requirements ? 2 copies of plan ? 2 site surveys (exterior add'Rions & decks) ? 1 energy wlculations for heated additions CONSTRUCTION COST; DESCRIPTION OF WORK: ?l?l'?°GtZYQr?f2«-'-c??"?? STREET ADDRESS: LOT: ? BLOCK: : ? 2 SUBD./P.I.D. #: PROPERTY OWNER Name: 4f?5?/t' (??- Phone #: Last First Street Address: State: /?9/? Zip: City Company: CONTRACTOR Street Add City _ ARCHITECT! ENGINEER Company: Street Ciry Sewer & water licensed piumber (new construcction only): and lot change is requested once permit is issued. Zip: Penaity applies when address chang I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. ? Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes Tree Preservation Plan Received _ Yes RECEIVED J No ? _ No _ Not Require BY Phone # License # State: Zip: Phone #: Registration #: State: OFFICE USE ONLY BUILDING PERMIT TYPE 13 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 S-plex ? 04 SF Porch ? 09 12-plex C] 05 SF Misc. ? 10 = plex WORK TYPE O 31 New ? 33 Alterations ? 32 Addition IJ 34 Repair GENERAL INFORMATION Const. (Actual) _ (Allowable) UBC Occupancy Zoning # of Stories Length Depth O 11 Apt./Lodging 0 ? 12 Multi Repair/Rem. ? ? 93 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. APPROVALS Planning Buifding ? ,;? a'•a . . r ' Y ?.. 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Eng'tneering Variance Permit Fee 7/1• 15 Surcharge 1 • So Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S1W Permit SNV Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: 6. a 5 Valuation °h SAC SAC Units • ? r rykll' l T ., il r- PLOT PLAN Scale - t inch - 20 wr.t tt I ? * ' ' I . _; • : ? ? ?+ r fii- _ r? : .1 ? i l rt .. . ? , 1 r '? >- ?- -? . ' •. ' . _- . . r + a ? ?` L. ? ' _ .-. y? : ? ? - r+-" r - y.-?? - -' ? ? .T - + ? 'r _ , + H ?a j?, e ? 'i:z t7z, ' ' x [?.1 I. ? :t. '.?" 7 1 ? • : }?1 -r _ti ? ?} ? } + ti .? ? 4? f ? ? a ?}?+ r '.? ..:! - .. r ii? :? a 1 t + ? 1? . _ ....' . _ 7 .,_- _ ? , ? ? .?? .. t T 4 J i Y +1 1 1 : -! X ?F -- J. 1 4 ?, ?? :? a - ? t? , ?? , . , ,. , 1? _. ? ,-• ? -.+ ?` ?- j?' - 1-i ? fi??? I il?] i , , ? «, }i_ • ?7 -? , ? { ai + ? ?I' ? " , ? - 7 . At 3 L { ' ? ? ?? I ? ? . + ? 4} ? j ?r? ; ! - - , ?i ? , 4_ ? t` .- ? . 1 L T-? J "- H= 4 , ? ........ I 1 I „ ? -7-7, _- 4i T '; = L -H r Y ? Y i; - Y?? I m ? r L ?? i .j i ! ? i •i , I t t '. ' i -1-?- . ' ? ` " " 54 _. ????,, • 1?? Y t_ 1 . ? ; ? ; i +?- ' -?. ?- , , 4 ?? ? i ;? ,? f ..??? f1 1 44 f 4 71 .I_y t T ` H ? ? •? . • .? , 1 ?. .? ? -- 4 { F., --• .- F-L ?7 I {?. H ? -- _ 1 i i 7? ? # - -.-'• -? - . 1 . .? f :: ? .: ? ? ,-T-r• { , .T ._:_ ?- a y . 14 . _ - 1 f. , 7 --? ..__. ?- r r 'a ?'"? :' rcz? P?rF?.?-1 il16 ?-* ?. ?.•?- ..: -.._T ai . .T+ ,. , , r { .? 1 r- ?:- . .?. 1 are tobe staiced befure appraisal is requested.) i Viusr shovr focation of streets, lot and proposed builtlings, give lot dimensior7s. (i_o; C:?rnr-rs; ( ? ? ? ? ? ? - ' - l. 3. 4. s. 8. i. i. 3* 4. S. i. ([I f . ? ' • /f! . . M..r tlCr. A4 ?. . . _ . /! / . . • ., r ? ' ` , .? . . , ? •«? ?,.r ( ? • .. ic ?. .i? , • • r • ? ? , rr. ?(( 'r?".'? . • ' ' V • • ? ? ; • I C s I . ? .. . e QPAM. . ,: ?. #9 ? i Indicate tYPeo "2:" value, dqpth and • ? , ?• • '? ' ? placenrnt of inaulation. : ? , : • -/ . • I ? ' , ?., ..:.<. _,.. ?? .....? „. wAr?rw+enn:. _ . ;tir-r <, ..., . _,.R?.: , ; ; ...,.,'?,",? -r. .-rt y , ; !,r • .?,,,yn ""?**%"'?Lt _ YW . . . _ , ? ?{t . ... ,... . . . . . n M?4LL Sbti•?a?NB .?i ,use,15s ot opaqua ++ati airera tow fram oonstruction ?= -Q7 { I 1 r p.i r -..• ? I I.? . : tlyt { t 1 ? rl 1 : n ?i? v ? „ e) ? . . . . _ .j. ,, , . . . " ? . . ? . .,.. .:. . , .: ., . . ? 4? . ?? , " . ' .. . .. 1'Ot(al e?6?,1oJej' TGt1? tik),11(:h' urPa .. . . . . ..... ... r ? . . . .,: z jC: TvtQ! r:;nfJceil.lqj frl.fT.l?c? ?:rP.r, '.?Ve7dr,c^. I.n.°i,) e . 1;. Tuta3 nt.:t,ins:ilated' ea..: DeCerr!tne °J?? va for each rocP/cei l:r,, , ? iiutt rR? , . . . .. .. ... . .. " . c k X "li,, -----5' `- ? x „u„ I r ' 4 .......... ..... • ........Total tf total of 04 is the same as, ar less than #2, you have met the intent or' .58C 600E1c}], . ' k`? . . ^' Alternate Building Envelope Design ?. "fo:ut'lize the tatal env.elope system niethod, the values est:a6lished by the; ,•t sum of items #3 and N4 sha11 not he greater thdn the sum of 1tem5 #1 &Ic1:N2; F?1,? . . . . . . . . ?? 1 ?' ! . . .. . . . . ..?. . 4 i1 . . . . 1 . ?33.,?"l; Q,4?? t 2?. 3• + a?. ., / * 40 , $? , . J.wi:(..,.. 1ia, 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN L17?g 3830 PILOT KNOB ROAD, EAGAN MN 55122 s 651-675-5675 Please complete for modifications to existing residential dwellings. Date / _1,2 / d k/ Site Street Address I068 &YJI u/oJ Unit # Property Owner PC, ', / `-' " 4 e ?un ?-t Telephone # (6Sh °lGS ?'i3lv/ Contractor _ _?4_4 w 06,1;_? i',?j Telephone # (4??) -239 91'2z Address 7S?/ );V_ • _ City ?r^?° v? le State mh Zip SS?yy The Applicant is: _ Owner ? Contractor _Other Alterations to existing dwelling _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) Other: i $ 50.00 _ Water 5oftener ? Water Heater replacement _ additional $ 15.00 ELawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 5tate Surcharge $ .50 Total I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ApplicanYs Printed Name Ap IicanYs Signature FRM C?1 2 2004 I CityofEa�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Jj Permit#: /c PsV0 Permit Fee: &, 0, 00 Date Received: 1 c Staff: INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: 1 ` 14_ i a-- Site Address: Orvv\ Q Tenant: Name: ?pt.. / 5 Gh .to Iii Phone: Address / City / Zip: )O G g 14; Y' K WOOD to r' Suite #: “1-90 5-916( PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) Repair Other: FEES $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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.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. x ?0.h( SCJ1clov►k Applicant's Printed Name x S Applicant's gnature PERMIT City of Eagan Permit Type:Building Permit Number:EA116731 Date Issued:10/10/2013 Permit Category:ePermit Site Address: 1068 Kirkwood Dr Lot:4 Block: 2 Addition: Ches Mar East 1st PID:10-17150-02-040 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - 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 by law in ALL single family homes . Christine Deutsch 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 - Paul A Schelonka 1068 Kirkwood Dr Eagan MN 55123 Kaufman Sheet Metal Roofing 2521 24th Ave S Minneapolis MN 55406 (612) 722-0965 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA129488 Date Issued:02/17/2015 Permit Category:ePermit Site Address: 1068 Kirkwood Dr Lot:4 Block: 2 Addition: Ches Mar East 1st PID:10-17150-02-040 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - 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. 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 - Paul A Schelonka 1068 Kirkwood Dr Eagan MN 55123 (651) 905-9361 Dubois Design & Remodeling Inc 715 St Croix St Suite 14 River Falls WI 54022 (651) 458-0844 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA129488 Date Issued:02/17/2015 Permit Category:ePermit Site Address: 1068 Kirkwood Dr Lot:4 Block: 2 Addition: Ches Mar East 1st PID:10-17150-02-040 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - 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 - Paul A Schelonka 1068 Kirkwood Dr Eagan MN 55123 (651) 905-9361 Dubois Design & Remodeling Inc 715 St Croix St Suite 14 River Falls WI 54022 (651) 458-0844 Applicant/Permitee: Signature Issued By: Signature 11101/ City of Eaall Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: / - g Permit Fee: / ---- ' c Date Received: Staff: /(/ 20105 RESIDENTIAL BUILDING PERMIT APPLICATION i% Site Address: /i060 D Unit #: Name?LL ( .i f'- L C/ Phone: Z %Z 7?h Address / City / Zip: /43& F jr aetv /7 Pe z r1d 5 /a-3 Applicant is: Owner Contractor Description of work:%?epiclae 6 & ! P42.0 C. Construction Cost: % 0 0-t' Multi -Family Building: (Yes / No Company: /Uvi'/‹.-/ (:[ Address: 6-y'et rte, 9 Contact:S3 52'o/ &1 ,ue Ate to City: .41 51t-19 44- City: Z State fly/V Zip: jS ic? Phone:95v2 email: License #: '1.013 06 Lead Certificate #: / ,/4 ' 7� 373--/ 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 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: 4:1,1,41. tib CALL BEFORE YOU DIG. Call Gopher State One Cali 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.aopherstateonecall.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 Building Code must be completed within 180 days of permit issuance. x 5t 't - St' Applicant's Printed Name Applicant's Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA151547 Date Issued:08/30/2018 Permit Category:ePermit Site Address: 1068 Kirkwood Dr Lot:4 Block: 2 Addition: Ches Mar East 1st PID:10-17150-02-040 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 - Paul A Schelonka 1068 Kirkwood Dr Eagan MN 55123 Silver Tree Plumbing & Heating Llc 3185 Terminal Drive - Suite 200 Eagan MN 55121 (651) 319-4200 Applicant/Permitee: Signature Issued By: Signature \P For Office Use "(6/ 1 ‘4:6:S4 �` Permit#: �' / .I:°°:# E Use "N Permit Fee Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-56751 TDD:(651)454-85351 FAX:(651)675-5694 A'''. r; „ A' Staff: buildinginspections@citvofeagan.com ,w,iii � 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Dater r�—rJ"2Oi0 Site Address: 1010rA t \£ k .W0(JC' Unit#: Name: r"fwA + C)tA 1k.0_ Phone: Resident/ f Owner Address/City/Zip: I U t9 K i r k w( 1)r. 1 Applicant is: Owner X Contractor Type of Work Description of work: W �V Q ,vt� Tel¢ n,U Construction Cost: (v 0730 , O Multi-Family Building:(Yes /No ) Company: i1�ar ,►n. c.�, Contact: N c. . )1'701-C..-t-- ontractor Address: - 4 (o tn) cJ t.,_�n City: 661-Z6 1-4? b State: ��Zip:55123 Phone: mail: n�G k.. U'r'Sf�,��n.[fu C.cx+t-N, License#: 3 11 Lead Certificate#: If the project is exempt from lead certification, please explain why: w `"h 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: NOTE:Plans and supporting documents that you submit are considered to be public Information, Portions of the Information may be classified as non-public if you provide specific reasons that would permit dm City to conclude that:hey are trade swots. 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.aooherstateonecall.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. x1\1;C(n6Ic 5 �7 L.,s*l' _ xt Applicant's Printed Name Applicants Si! = ,/ / //< -7 0 .Z'C ' ''' R-K16CCI /64 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) r Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level _ Pool Accessory Building _ WORK TYPES _ New _ Interior Improvement _ Siding T Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior c f Alteration Fire Repair _ Windows _ Demolish Foundation T Replace _ Repair — Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant — DESCRIPTION _ Valuation 4,5-`5 )`— Occupancy jl& MCES System Plan Review Code Edition /)Q#1 Z O /5— SAC Units (25%_100%2) Zoning F.2 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction tii3 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) .j Final/No C.O.Required Foundation Foundation Before Backfill (,Q' HVAC_Gas Service Test Gas Line Air Test Hood Roof:_Ice&Water _Final C Pool:_Footings Air/Gas Tests _Final se Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick—EFIS p Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control — Shower Pan Other: Reviewed By: I g 7 ft ,Building Inspector RESIDENTIAL FEES Base Fee 2_-) � 5 5 9,'� Surcharge t"74 20..c)-- Plan 0O-Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3