1071 Kirkwood DrCITY OF EAGAN
, - 7795 P{bf Knob Roa1 Eayan, MN S."22
y PHONl: 454-8100
BUILDING PERMIT ReceiPr #
Te be wed fer Est. Value Date . 19
Slte Addrcss
lot Blxk 5ec/Sub.
Parcel #
ae Name
W
; Addrcss
b
Ci Phone
? Nome
0
8u Addreu
Nome _
Address
I hereby ocknowledge that I have reod this application ond state that
fhe intormation is correct and ogree to comply with oll uppliccble
Stote of Minnesoto Stotutes and City of Eogun Ordinonces.
$iqnoture of Permittee
A Building Permif Is issued to: oll work shall be done in accordarxe with oll
Buildinq Official
Ered Q Occupancy
Alter ? Zoninp
Repoir ? Fire Zone
Enlarye ? Type of Const.
Move p # Stories
Demolish ? Length
Grode ? Depth Sq. Ft.-
AoProvall Fees
Assessment _
Water & Sew.
Police
Fire
Enp.
Planner _
Council _
Bldg. Off. _
APC
Pertnit
Surchorge
Plan check
SAC
Water Conn.
Water Meter
Road Unit
Total
'
on the express condition Ihm
licable State of Minnesota Statutes and City of Eoyon Ordimnces.
Parmit No. Pormit Holder Miu. Permit No. Holder
Plumbinp -7 -7
H.V.A.C. 3 b Ca??iled?r c2
Well
WMer
Disp.
Sower
EleMric we64V7g
Inspeetion DaM Insp. Othar
Footings
Foundation
Framing ?.
Rouph Plbp.
Rouph HVA
Inwlation .Z _
Final Pibg. _ ?
Finel HVAC , ,? Ld
Final 10
Water Doseribe Loertion:
VYell
Sawar
Pr. DMp. ?
Receipt MECHANICAL
CITY OF EA
I Fill in numbered spaces I
Type or Prinf legib/y
?.
1. Date ` - -- 2. Insiallation Cost
?
3. Job Address Lot 1 l"'
4. Owner
5. Contractor
Permit No.
Fee
S/C
Tot. '
-
?-
Blk. ? Tract
Phone
6. Address
7. City ' State 2ip
8. Building Type: Resideniial `O Commercial ? Institutional ?
9. Work Description: New OY Add ?
10. Describe
11.
Alter ? Repair ?
_Fuel Type
No.
_ Equipment 8TU - M. Ea.
Forced Air No. Equipment CFM
Air Handling:
Mfg. ?-
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 1 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
, ?-
Receipt PLUMBINGPERMIT PermitNo.
CITY OF EAGAN
Fee ,' :;:; • s
Fill in numbered spaces S/C
Type or Printlegibly Tot.
1
-1. Date 2. Installation Cost 4
3! Job Address 1071 !'i.rkwoe^ Lot L? ? Blk. Tract
4. Owner `^?• 111°T' Cons?c-i!.CGloYi -- I
5. Contractor cvu:.re :oc?u-.nical Serv.Phone ? ?9-?-33?
6. Address ,, ;'' --F,.
7. CitY Irj i 1- State ZiP
8. Building Type: Residential ? Commercial ? Institutional 0
9. Work Description: New ?'.. Add ? Alter ? Repair ?
10j Describe
l la
No. Fixtures
Water Closet No. Fixtures
Cesspool /Drai nf ield
i Bath tubs $eptic Tank ?
Lavatory Softner
r' Shower Well
? Kitchen Sink
Urinal/Bidet
Other
I Laundry Tray i
/ Floor Drains
Drinking Ftn.
1_ Slop Sink
Gas Piping Outlets
12. I hereby certify that the aboye information is true and correct, and I agree to
` comply with all ordinancescaild codes governing this type of work.
Signed :
for
? Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
RE<EI V ED
DATE
AMOUNT $ I
19
at DOLLARS
?oo
? CASH ? CHECK
FOR
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
??, B Y
?
CITY OF EAGAN Remarks
Addition CHES MAR EAST FIRST ADDN. Lot 10 alk 3 Parcel 10 17150 100 03
own er ????? ?- • ? sveec10]L Kirkwooci Drive State EaQan, MN 55122
l I L(! ? ; ,?,
Improvement - Date Amount Annual Years Payment Receipt Date
STREETSURF. 82 2622.14 524.43 5 1573.30 A011910 2-9-33
STREET RESTOR.
GRADING
SAN SEW TRUNK JI"// 112.00 A011910 2-9- 3
*SEWER LATERAL es 135 •09
WATERMAIN
*WATER LATERAL 1991
WATER AREA j6 112.00 A011910 2-9- 3
STORM SEW TRK 1981 351-10 70-22 140.4 A011910 2-9-83
+,6TORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIQHT
240.00 33219 11-2 -82
WATER CONN. 420.00 tt tf
BUI LDING PER.
SAC n n
PARK
CITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eogan, ' . 55722 DATE:
Zoca;;.g; ' No, of Units:
rwaress:
Site Address:
Plumber:
Meter No.:
Size:
Reader No.:
1 agros M eomply wkh !ha City of Eagan
Ordinanees.
By
Date of Insp.:
- Connection Charge:
_ Account Deposit:
- Pertnit Fee:
Surcharge:
Misc. Charges:
Total:
- Date Paid:
- Insp.:
SEVUER SERVICE PERMIT
ilot Knwb Road PERMIT NO.:
I.A 55122 DATE:
No. of Units:
r11F° '_r,?- _
Site Addreu: 1 ''7 1 rJ?-n I•'
Plumber. ?r-
„ . ..?„ -
h'
I agroe M eomplr wilh fhe Ciry of Eagan
Ordineneoa.
By
Date of Insp.:
I nso.:
T1n n9 ',C'S '..7, j'aSt T
';.1 .
Connedion Charge: ' . '. ? , .
AcwuM Deposit:
Pertnit Fee:
Surcharge:
Misc. Charges:
Total:
Date Paid:
CITY OF EAGAN
3795 Pllef Knob Road Eeyen, MN 55122
PHONE: 434-8100
BUILDi?NG PERMIT Receipt
N° 7679
DWGiGAR Esr. Value $58,400
Site nedress 1071 Kirkwood Drive
Lor 10 elock 3 Sec/Sub. Chee Mar East lst
Parcel # 10 17150 100 03
W Name Joaeph M. Miller Const., Inc.
; Address 18133 Cedsr Ave. So.
b r:...Farmineton e,.___ 454-4753
? I Name O?Mer
,o
?? Address
~ Citv Phone
Nome
Address
1 hereby ocknowledge that 1 hove reod this application and stote that
the information is correct ond ogree to comply with oll opplicable
Stote of Minnewta Stotutes and City of Eagan Ordirwnces.
Erect )m Occupanty R'3
Alter 0 Zoninq (PD) R-1
Repair ? Fire Zone NA
Enlarge ? Type of Const. V
Move p .# $tories
Demolish ? Length 52
Grade ? Depth 38 Sq. Ft.
Approruls Fees
Assessment
Water & Sew.
Police
Fire
Eng.
Plonner
Council
Bldg. Off.
APC
Signoture of Perrnittee
A Buildin9 Permit is issued to: Ja$Eph ull work shall be done in accordonce with oll oppl
Permit Ju7.vv
Surchorge 29.00
Plan check 153.50
snc 525.00
Water Conn4 2D• Q4
Water Meter 60.00
Road Unit 240.00
Torol W34,50
on the express condition thnt
i' of Eogcn Ordinonces.
Building Officiol
CITY ??s?clude 7 1 dts p?IM w/e?lens? ;of pln?atians ns. HUILDINC+ Imet of erM+rlY oaloiil.°ti°=T
? v1'8, ao a °
Dabe
w?valuatj.o?n
1b 8e Ueed F'ot - ? : -
Site AML'2is: 1071 Ki,rkwood L_? •i ?I(? USL ctU+Y '
? 10 $1OdC 3 SEC./5ub. Ches Mar 1st`Ex+BCt ?Y ? ? -
Pasroei #: Il? l`llCo (6c) o j : ?r ? pnInVe, T?ps vf Oornt.
Owner= Joseph M. Miller Const. Inc. ? S??/
reanC
Addre"; 18133 Cedar Ave. So omilpth
City/Zip Code: Farmington MN. 55024 `
pi}qw #t , 454-4753
CM1tL'aCbpYa 'Same
Ac]dress:
(YtY/ZiP Cocle:
Phcoe # :
Arch./Eng•• _
Adclress:
?
aty/ZiP Oodc:
PNone /:
P1PPI?VAiB ,
??
?
?: c3 a 9 ?
Water/3ewer _ Pian Checic
Foliae
Fire
SAC ?S :o2s ? ,
Eng , w&tor c7min. a oy?? .
Planryer _
?aancil W°ter ?r ?o
? '
d ZAtit ? ?/f
g3dg. Off.-L?'
APC
;.
-
?
f !
U
?:.
,'
?
,
,:.
1?
(gpr#iftraf.e af Orruvttnry
. titp of (Eagan
Op#rttrtmpni nf ?guilding Jno.pprtimt
Thif Ccrti ficatt it.rutd purruqru to the nquiremrnu o f Sertion 306 o f the Uni f orm Building
Code ccrti fying that at the time af itwurut thir ltrutture wac in compliunce with the variout
ordinanrer of the City regulruing building con rtruction or usc. For the f ollowinx:
u„cuanunm SF DWG/GAR ?6?9
Bldg PemJt No.
°-wwr'roa R3 Tywcmftwuw V Fim Zone NA zo,,;la.inct (PD) Rl
a,,w ,?Mdi,`Jos. Miller Const. Aaam,18133 Cedar Ave:, Farmin t
g-gdWgAdd? 1071 Kirkwood Dr. ,,,-;nI,ot lO.Block 3 Ches Mar
By: East lst
eww?,orr,a.t ?? Daia: January 27, 1983
wr iN w ?nwws ruei
ur?oix-u.s.n.
This request void 12- -ZQ
18 mnths trom W 9.54478
93, ckLs A/la i-
?0.s?- ? s-?r-
335[oq
.7`l ? so
Request D'dte Fire No. RouBh-in Inspr,rtion
Re4uired? ?fleadY Now?Will Notify Inspec-
%
/p?_b ' I? ?1'es ?Nu 1or'dJhen Ready
V Licensed Electrical Contractor I here6y request inspection ot above
? Owner . electrieal work installad at: . Street Address, eox nr Route No. ? City
?
/O '7 K
K
m E74
woo
N
i?
u?- en
ection o.
. Township Name or No.
1 Range No. Counry
-h aKaf?
Occupant (PRINT)
''/y',i4a Pho(ie No,
Power $uVPlier Address
)0rr
Elec[rical Contrac[or (Company Name) Contractnr's Liccnse No.
l? c f& l0 - ?,.
Mailing Address (Contractor or Owner Making Instailation)
?
z-,?0390 A11%W11 -,4. ,vV !? s &(D
Authorized Signature Contractor/Owoer Making Installation) PhoneCNumber
3 ol /
MINNESOTA STqTE BOAROVOF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - floom N-197 BE ACCEPTED 9V THE STATE BOARD
1921 University Ave., St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
PFnnn 19121 997_9111 ENClOSED.
REQUEST FOR ELECTRICAL tNSPECTION ^ ee-ooooi-oa
s u
. ' See instructions for completing this torm on hack of yellow copy. 6? A+4 n
""X"' Below?V?k4c4 7ed by This Request J? 3 S44 ?
AAd Rep. 7yDa of euilding Appliancus Wired Equipment Wired
Home Range Temporary Service
Dupiex Water Heater Lighting Fixtures
Apt. Building Dryer Electrlc HeaUn
Commercial Bldg. Fumace Silo Unioader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm otner speMy otner (snecifv)
ther $pecify Othet 01her ComDute lnsnectinn Fee Ralnw
N Fee Service EntranceSize p Fee Feaders/5ubfeeders # Fee Circwts
te? . 00 0 to 200 Am s 0 to 30 Am is 0 to 30 Am s
Above 200 Amp5; 31 to 100 Amps ? , Qa 31 to 100 Am s
Swimming Pool Above 100_Am s Above 700_E1m s
Transformers Irrigation Boorr-s , S"0 Partial."Other Fee
Signs Special Insqection S L
0 T
Rerrw3rks - 16` O L PE
?G_ i
? i ? ?
Rough-in ' D`11e I, t ical
l,12 ???1
A
?
?qector, here6y
ca
bf
th
tth
b
Final
Date ?
) 3
/ r
y
a
e a
ove
inspection has been
d
/"
0 a
e.
This re0uest vold 18 months Imm
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 -16
New Construction Reauirements RemodeUReuair Reauirements ?`? •
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all mofed areas • 2 copies of plan
(20% maximum lot coverage allowed) . 1 set of Energy Caiculalions for healed additlons
• 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks
. 1 set of Energy Calculations . Indicate'rf trome served by septic system for additions
• 3 wpies of Tree Preservation Plan it lot platted after 711193
• Rim Joist Detail Options selection sheel (bldgs with 3 or less unils)
DATE 6- ZS-O2
VALUATION y; 9 n(---) Ic'_"?
SITE ADDRESSto-7 t K;rk??OCA lo p MULTI-FAMILY BLDG _ Y ?
TYPE OF WORK Rc - (Z-)<k +tc-,,r ,::A FIREPLACE(5) _ 0 _ 1_ 2
APPLICANT I-6--c Cx?c.-;oi-S
STREET ADDRESS -795Q 4? O (ZA 2G CITY (?lv.(?I? 1?I4-?.. STATEtIN) ZIP SS3
TELEPHONE #763-'441- «'-'t CELL PHONE # 6l2` 210- 216 Li FAX #
PROPERTYOWNER T?n ??f?•? ? TELEPHONE# C?12'
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIVNF.SOTA RULrS 7670 CATEGORY 1 MINN.
(4 submission type) • Residential VentilaGon Category 1 Worksheet Submitted • New
• Energy Envelope Calculations Submitted
Plumbing Contractor: ___
Piumbing systcm includes:
Mechanical Contractor:
Mechanical systcm includes:
Sewer/Water Contractor:
Water Softener _
Water Heater _
? No. oF Baths
Air Conclitioning
Heat Recovery System
_ Phone #
Lawn Sprinl:ler
No. of R.I. Baths
Phone #
Phone #
JUN 2 8 2002
ree: $70.00
-------------------------------------------------------------- ------------------------------ ---- ------------------...---
I hereby acknowledge that I have read this application, state that the in ct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan di
Signature of Applicant
------------- - ------------ - -- - ----- - -- - -- - ------------ - - - -------- - - - -- - - - ---- - -- - ----- - - - - - ----------- - ------ - ------ - -------------- - ---- - -
OFFICE USE ONLY
$90.00
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
? 07 OS-plex 0 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn.(4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bidg '
? 31 Ext. Alt - Multi
13 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration 0 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 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
_ Foorings (new bldg) _ FinallC.O.
_ Foorings (deck) 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
_ 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
? .
:W??<.?!?Ife:;,:; Js Y. ??:.!;M:;r,ri!. noe
.? ?
Dp•?r.,??? ?rl,?:-ojq_l 'T'- ' `r.,i ,^.
. i ? t._.? ??..'. ?}( . . i .?.?•1? (.1..?;,..}[.. 0r}
10
NAMr;; E;CtNCl::l'T3 :CiJ ± IV:I:Nt:,, :i:C,!r,
32_0 9001 :I.Ji':l F:IFtF:lai'i:)Of..t 7 139.25
?-,- ? ?,-,-, ,?• ?.
c, ......,.., J?:ii?J. :?.0?•-,1 ?•..?.;,Ft?;u?1I:? Z; ??,._,n
TUta.' I^.'erE3:ipt AIFi!]oYti9: t 142o r'5
CRf. jkr,i'4-3
;.i::Eii .1.b; .li1i.!
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
01 3830 P1657-68/46 5- 55122
New ConsirucHon ReaWremeMS R mo 0J
D 3 regiatered site surveys showing sq. ff. of lof, sq. ff. of house
and all roofed areas (207* maximum lot coveraae allowed)
D 2 coples of plans (show beam 6 window sties; poured ind. destgn; eic.)
D 1 sei o1 energy calculafions
? 3 copies ot free presenaNOn plan I IW platted atter 7!1/43
DATE: -T ? // c3 /?"/ ?
DESCRIPTION OF WORK:
2 coples of plan
1 set of energy calculaNons for heated addkions
1 alfe survey for cxierior addNiona 6 decks
CONSTRUCTION COST:
?
A ds2C'?
STREET ADDRESS: rke'j oei
LOT: C) BLOCK: SUBD.(P.t.D. #: Cl(?? ?QkA---t?
Ncme: ! e!L? Phone #:
PROPERTY las? First
OWNER .
Street Address: /
aJ??
City 6RA) StaFe:/L4 N Zip: ?cS1?Z?
A&Y,'
Company: ( . ? ?t GE? S , ,J ? I 1?1 ? G ?. Phone #: 6 l Z ??d -
? G?
area code)
(
CONTRACTOR ?
Sheet Address: 137qt> l? lGol ?- S
?cso /J
A ?L- , License # 2"Exp.
Ciiy /1" S 1) e,
State: A?I. n Zip: ??•S^3.?7
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Stree9 Address: ' Reglstration #:
City State: Zip:
Sewer & water Ilcensed plumber (reaulred for new construction onlv):
Pspsqplty applies when address change and lof change Is requested once permff is issued.
I t, ' eby acknowledge that I have read thls appllcation, state that the informafion is , and agree to omply wRh all applicabl
5to? M Minnesota Statutes and City of Eogan Ordinances.
5ignature of Applicant:
OFFICE USE ONLY
1 1 h
? 7 3 I 1 ''
. . .._....__,..._._... ir 11i
?
Certificates of Survey Received _ Yes _ No +01s 1s%
Tree Preservation Plan Received _ Yes _ No _ Not Required
?? ;
OFFICE USE ONLY
BUILDING PERMIT NPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
O 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage 0 22 Porc.h/Addn. (4sea.
0 03 1 of _ plex ? 08 6-plex ? 13 16-plex 0 18 Deck ?2r 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-piex ? 10 B-plex ? 15 Lodging ? 20 Poot ? 25 Miscettaneous
WORK TYPE
'U< 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
_
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition perrnit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft. Census Code 1-13y
Main level sq. ft. SAC Code !::P/
sq. ft. No. of Units l>
sq. ft. No. of Bldgs
sq. ft. MC/ES System
sq. ft. City Water
Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
. Building Engineering Variance
Permit Fee Valuation: $ Z?2 C20
Surcharge ?,,SC?
Plan Review
License
MC/ES SAC
City SAC
Water Conn. ?e, G
Water Meter
Acct. Deposit
SIW Permit y K,q 66
S/W Surcharge
Treatment Pt.
'
Park Ded. .,
Trails Ded. ?
Other
Copies
Total:
SAC Units
% SAC
O$' 4
~E?;TfiRTOR FNVPLOPP. T.VERAGI; "U" COPiPL'T7ITION ?9
' OW19°It: _ JoseDh M. Mi11e -_pnst. Snc., DA'tL
SITE ADUP3:S5: 1071 Kirkwood Drive _ PIIONE: 454-4753 !„_
cbNTRAczvx: oe MiL-+?.r.
Determinc working square footage of each
1. 7'olal c}cposed wall area.. ... . sq. ft. x .17 = 329.g
2. Toal roof/ceiling area ...... sq. ft. x .05 ° S3 °r
Total exposed r:a1Z area abave floor
a. Total wall window area ................................. !??
ti. , ms+.al doar AXE:2? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... ..
,.. ?o4a_ sli;.?r,? gia.s door area .........................
d. 'i'olal. fireplace wal-'-. area ............................. -"
e. Totai wall fr?,ning arett (averagc 10%) .................. 1-70
i. Tatal rim joi.st area ..................................
l`{I
?3• _???_ 4r417. ax?,a =bave floor .......................... 13:542
?l. Will.I ]Yv,? dillOVB floor ........................... .
i. wall area above floor ..........................
7 • ??__ _._ wall area abbve f2cor .. . . ... . . . . . . . . . .. . .. . .. . .
•Potal e>:poseu foundation area =
--
k. ibCal fo,inciation wi.ndow ar.eZ ...........................
1. 7tita1 net. £our.dation area above grade .................
Ue;:crmine "U" value of each wa11 se,qment
, (e•g• wi.ndcw, door, each separatc tvall sec:ion)
a, J l20_ X „Ult
t,. 3a X „U„
c. 40 x .,u„
a . , -- --- ? ? „ U,. --
e. i-ro y, ',u„ . 07 = tC •q
g , 1 ? 1 >; ?-
a. 1330 ^ x „U„ .o4g = _ _,+sQ.?
h. ? olu„ _
X "U" °
X °U" °
}:. x liul:
;
_ . x „V„
- , , . ? a . . . . . `1'Vka3.•
IE item fl3 is the same: ?.-
or less than itcm =;a, YL"
}i;jvp niet the inLt>nt c7£
513C 6006 (c) 2.
•
' - D;tarior Envelope Aver.age „U„ ComputaL•ion Page 2 of 4
?Total exposed roof/ceiling arca --
m. 'Iotal s}:yli.yht area ............................ . "_
n. Total roof/cciling franinq area (avcragc 10e)••• /OQ1
o. ToL-al net insulated roof/cciling area........... 01-70
,
?
Determine "U" valuc for each roof/ceiling seqment
X
m . ---------
n. .. 108 xL),? ; az"1 _= 2.c1
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AJ.ternat-c Buildin9 rnvcl.ope Design
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2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomcs/condos when permits arc required for each unit
Date l!/ / 2l / ?
Sit
Add it #
U
e
ress n
PropertyOwner Telephone # ( ?? ) 4 'v3,qo
Cnntractor
StreetAddress ("'"?/'(?/ ?1;? ? • City
/W
State j Y c{? I Zip lep one #(??l
B ?
ond #: Expires: I
The Applicant is Owner ? Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional _ Replacement
air exchanger
air condition
e
r
N w Replacement
r
?
?? ??
? other ?!? ?,_
State Surcharge $ .50
?
T
l $ :0' 99
ota
By
I hereby apply for a Residenrial Mechanical Pernut and aclmowledge 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 with the Mechanical Codes; that I understand this is not a
pernut, but only an application for a pernut, and work is not to start without a percnit; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plaW.
Applicant's Printed Name Applicant's Signature
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please completc for. commercial/indusfial buildings
multi-family buildings when sepazate permits azc not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #• Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove **see below
Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
**When installing/removing underground tank, call for inspection by Fire Marshal and P/umbing lnspector
Pertnit Fees: $7050 Underground tank installation/removal
$50.50 I`linimuin (includes S[ate Surcharge)
0[
Contract Value $ x 1% _ $ Pernvt Fee
• If nernut fee is $1,000 or less, add $.50 State Surcharge
If pernut fee is over $1,000, add $.50 for
every $1,000 permit fee $ Total Fee
I hereby apply for a Commercial Mechanical Pemut 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 with the Mechanical Codes; that I understand this is
not a pemvt, but only an application for a permit, and work is not to start without a pernut; 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
Applicant's Signature
Approved By: ,Inspector
Certificate Por:
Joe ?iller Construction
?18133 Cedar Ave. So.
Farmington, Mn. 55024
;
DELMAR H. SCHWANZ
LANDSURVEVORLj?j A16
Registere0 Untlar Laws of The Stata ot Minnesota
2978 - 145TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 55068
SURVEYOR'S CERTIFiGATE
9 3037
a? -Z
PHONE 612 423•1769
r?D. 0 r?.oPo?s e l3 G Pa^cr,
930.4 Pq'vPosr4p 'SoP mf ?.•oUc E?.EJ4
zZ, 1'rwvos?a $-4asW-+-AFKr IF L-4?02 Ft- 0; J,
oo N
i5:?,
?
? ,6t O
1 cA 1.4•11i -w'00 '
o
o
x1c?,.? p 0
iJ I Q-'/?.
(o *0
\ al o - - - ? -'T? ? 3g:3ro l 28.00
17
t_,- -
I-e
? ?
. -,3d ? e?
Su"
14t?.D0 1y27i l
- ? ?Z?OI -.5°?"IL y28.9 ya?xue °:
To P Nu5
919•7 Denvtes exiating elevation
??; =Deretes proposed elevation
O Denotes eet wood hub
..%-- Denotes proposed drainage
I hereby certify t27itt this ie a true and correct representation of
Lot 10, Block 3, CHES MAR EAST'FIRST ADDITIoN, according to the
recorded plat tbereoP, Dakota County, Minnesota.
Also showing the location oP aproposed house thereon.
Lot cornere found or eet and houae ataked 0etober 20, 1982.
Dated: October 15, 1982
:
r'
MINNESOTA,REGISTRATION N0.8625 ??, -
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1071 Kirkwood Dr
Lot: 10 Block: 3 Addition: Ches Mar East 1st
PID:10- 17150- 100 -03
Use:
Description:
Sub Type: e - Underground Sprinklers
Work Type: Backflow Preventer
Description: New
Meter Size Meter Type Manufacturer
Comments:
Fee Summary:
Contractor:
Ryan Mechanical
1547 Hay Creek Valley Rd
Red Wing MN 55066
(651) 388 -1510
Amanda Church
1547 Hay Creek Valley Rd
Red Wing, MN 55066
PERMIT
City of Eaan
PL - Permit Fee (Res Modifications)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Serial Number Remote Number
Owner:
Tracey L. Roesler
1071 Kirkwood Dr
Eagan MN 55123
$30.00 0801.4087
$0.50 9001.2195
$30.50
Issued By: Signature
Plumbing
EA077583
05/03/2007
ePermit
Line Size
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA108168
Date Issued:11/20/2012
Permit Category:ePermit
Site Address: 1071 Kirkwood Dr
Lot:10 Block: 3 Addition: Ches Mar East 1st
PID:10-17150-03-100
Use:
Description:
Sub Type:e - Water Heater
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Chad Bettin
3208 First Street South
Waite Park, MN 56387
320-251-2505
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Tracey L Roesler
10150 City Walk Dr Unit 423
Woodbury MN 55129
Ecowater Systems
P.O. Box 428
Waite Park MN 56387
(320) 251-2505
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
�-----------------,
� For Office Use �
�it Of��. �Il ��������: ; /��o�� �
Permit#:
I �
� � , �o�� �
,'_� ��� Z � y��� � PermitFee:
3830 Pilot Knob Road � I
Eagan MN 55122 � � I
Phone:(651)675-5675 � � Date Received: �� "��" ��"
Fax:(651)675-5694 �/� � j
' "'T _..
� Staff: �
�����������__����J
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: 10/15/14 Site Address: 1071 Kirkwood Dr, Eagan, MN 55123
�er�ant: Suite#:
�� �
�_.
�
� � Name: Tracy Ellis Phone: 952-237-2018
Resident/Ow�aer
� � same
� �Address/City/Zip:
� � � Name: K&S HeSting, Air Conditioning & Plbg LLC�icense#: MB5216
� �
� ���� Contractor � � Address: 4205 Hwy 14 W c�ty: Rochester
` State: MN zip: 55901 Phone: 507-282-4328
�
� � contact: Heidi Brown Emaii: hbrown@ksheating.com
��� New Replacement Additional Alteration Demolition
7ype ���iJork � �?°�cription o���,�!�k, �
����.,��. Roof moc� ���. ,���,rd gro��s��' r��.;��nte�mechanical equiprx���,� ���rpqui�red t��a��creen����•�'���� '�
_ ��� �� � ' ade� Pleas�r t, ����h�Me��� �1 Ir��pector far�nform�t�c�: >>�� ��rm�tted��r����sng m�t���� �
� m � � �v.ma��.,,��d .. � �� a�,
� �� � � a��,�� ��� � . �� .�,r�.v.R- . ���li�,,��>. �,���ae
� RESIDENTIAL COMMERCIAL
� � XX Furnace New Construction Interior Improvement
� — —
X �X Air Conditioner
� - Install Piping Processed
� _Air Exchanger Gas Exterior HVAC Unit
— —
� _Heat Pump Under/Above ground Tank �Install/_Remove)
�� Other
RES/DENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge)
nn nt�
�100.00 Residential New(includes$5.00 State Surcharge) _$ ���uU TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee
"If contract value is LESS than$10,010, Surcharge=$5.00 =$ Surcharge"
**If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005
""If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE
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 Rick Keehn x� �� _
Applicant's Printed Name Applicanfs Signature
.�.3. _ � . � , —__. �
FOR DFFIC�'€J'��
Required Inspeci��a°� ��°��wed By: � �� , ���'
Undergroun�� �,��gh ',F '.i� ;: ,, ���- _�:�T� In-floor Hes:,° Final � H'�rAC �crse�;:�
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162431
Date Issued:07/14/2020
Permit Category:ePermit
Site Address: 1071 Kirkwood Dr
Lot:10 Block: 3 Addition: Ches Mar East 1st
PID:10-17150-03-100
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for 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.
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
David Schlotfeldt
1071 Kirkwood Dr
Eagan MN 55121
(651) 470-2613
Twin Cities Siding Professionals
664 Transfer Road
St. Paul MN 55114
(651) 255-2844
Applicant/Permitee: Signature Issued By: Signature