1104 Kirkwood Dr
Use BLUE or BLACK Ink
r
For Office Use
Permit j
City of Ea
Ea~
I Permit Fee. (1
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Staff: I
Fax: 675-5694
(651) I I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:/ r /3 4'~) /~b Site Address: I Ir TT1 -Dr 1 t.~
Tenant: (~L,t VIJ i. -J2- P-.,r -r- Suite
RESIDENT / OWNER Name: CG: r) <4 t~C~c ~ t ef Phone: (,i 2-3.3 °9712-
Address / City / Zip: C 1 v u%-
Applicant is: L Owner contractor
TYPE OF WORK Description of work: 4 _ -5
Construction Cost: Multi-Family Building: (Yes A / No )
{L-~
CONTRACTOR Name: ~u i( is r -~--c- License 2-4) 6,.S9'0
-2-:3'7 Cr~a I~c3 City: f-t ~ r_
Address: ~
State: ~t Zip: l [ Phone: ( Ll
Contact: f i`►hl~ ( Email: h_'d r ci jCTz~ IUD S C ~
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:
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 the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without mit; that the work will be in
accordance with the approved plan in the case of work which requires a review and appro plans. I
x x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
. . . , INSPECTION RECORD
CITY OF EAGAN LI?? ?8?D ?1 9/17/9s PERMIT TYPE:
3830 Pilot Knob Road Permit Number•
Eagan, Minnesota 55123
(612) 681-4675
SITEADDRESS:
+i,. i i 1=h, lJUl1lS Il1,
: !;; . ; ?,' I SI.U
PERMIT SUBTYPE:
i,1;. ! ; ..
I I , ,. ! I My3
f I i iJ `-. IJ t s: 1 I O M
I It : C I wt:E
TYPE OF WORK:
RAN I Ni,
i rPIAf
NI LI
??Er ? t I? ? NU
N:•Mritin
1) !> ( 1 l! / et ;i
{ t?' fm li Ft k: '-; ,'s 6 LA i I i
H;tL';HfIt fxi.AVA1"1hti;
-1
Date Issued:
APPLICANT:
?
Permit No. ParmR Holder Date Telephone A
SNV
PLUMBING ((? ? 8 -,fl?Ya,
HVAC Y .3 O 7J?'D.3I0
ELECTRIC 0
ELECTRIC
Inspectlon Date _ Insp. Commanfa
Footings 1
Foundation
Franiing 7Iz f3 D
Roofing
Rough Plbg. j "_
Rough Htg. 3n?3 ?
Isul. y/ J/%.j Lh0
Freplace
Flnal Ht9. ?. "Ca
C
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
ConsL Meter
Engr./Plan
aldg. F,nal ?_ 3 ps
Deck Ftg. qhsk?
Deck Ffnal f
i.V lOA,?v/'
wen
Pr. Disp.
? ?? ,
JLI ,?.
CFTYIOF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
? i . 1 ? . . . . , . -
TYPE OF WORK:
Ht? ? 1 0 t nti,
N;•S1tskI,
Qr?/10 /ti;3
?i
INSPECTION .. . .,
<
t
I `> A, W !'I {
CYJ:t',11t:1i f'k(AVAIiNCi ?
_I
PermN No. Permk Holdm Dete Telephone #
SNV
PLUMBING ? /rop _ ?ft
HVAC
ELECTRIC ?SL 93 S?
?/
ELECTRIC 0006 -
Inapection Date Insp. Commenb
Foonngs 1
Foundation
Framing
Roofing
Rough Plbg. 7,C J"? ?
Rough Htg.
ls,l. ? 93 Ca.?S
Fimoace
Final Ht9.
Oraet Test
Fnal Pobg. Plbg. lnspecfw - Notiy Plumber
Const. Meter
Engr./Plan
Bldg. Fnal l/ ?L
Deck Ftg.
Deck Final
Well
Pr. Disp.
7 . _? .
I i IN5PECTION RECORD( CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: , „ i
PERMIT SUBTYPE:
PERMIT TYPE:
Permit Number. '' •' ?' ? r• ;
Date Issued: 1 1 I'•"
APPLICANT:
TYPE OF WORK:
INSPECTION ., . .A
? ???? ? ! r . i, ?
Permit No. PermR Holder Date Telephone X
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Oste Insp. Commsnb
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Hig.
Isul.
Fireplace
Flnal Htg.
OrsatTest
FinalPibg. Plbg.ln5pector-NotifyPlumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
Wertificate of cccupanc4
(M4 of WAgatt
Teoartmext oF isKiliiy axoecNoK
This Certificate issued pursuant to the requirements of the Unifornt Building Code
certifying that at the time of issuance this structure was in compliance with the various
ordinances of the Ciry regulating building construction or use. For the jollowing:
D[JPiEX 20685
Use Classificabon: Bldg. Pamit No.
Occupancy 7ype _i-EUM,BU ? 111 ER Zoning Distria 15513 m??mF 11`7? $i. ?
? ?fK1U
Owur of Building pddiess
- f f
BitiJding Addtess l.ocslity
/
? Dak:
Building Offici
POST IN A CONSPICUOUS PLACE
? r
? ?.
Wertificate of Cccupanc4
Oitv of Cfagan
-mr ? Vairbias 3xOWCOM
This Certifcate issued pursuant to the requirements of the Uniform Buildirtg Code
certifying that at the time of issuance this structure was in complimece with the varrous
ordinances of the City regulating building construction or use. For the following:
Use Classi5catian: 'LTM Bldg. Pefmil No. 20886
Occupancy Type , R3 l Zoning Distria PD Cws?. ?
Owcer.of Building FF?INRE Address 11513 I?O Il'1, RMNSVI$
f f
Byi(ding Address Lacality ,
? ? 7h na?: ?-
e?a?g ot??
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN
` -454-al00
DEPT. OF BUILDING INSPECTIONS
Correction Notice
Located
I have this day inspected this structure and
these premises and have found the following
violations of city codes governing same:
When corrections have been made, please
call 45d?SM_for inspection.
Date
Inspector City of Eagan
DO NOT REMOVE THIS TAG
CITY OF EAGAN Remarks
Addition Ches Mar East 3rd Addition ?ot 1 Rik 3 Parce? #10 17152 O10 03 ,5<
Owner Street 1104 KiTkwood b?Ae 4? ? state Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1982 1119.88 223.98 5 ?-?
STREET RESTOR.
GRADING S2 - 1981 63.
4
9
,
_.
_ ,
SAN SEW TRUNK
*SEWER LATERAL ,?-?6V 362-
07 QnA
L
.
` .
-
WATERMAIN
-A4VATER LATERAL 1991
WATER AREA (p j 1
STORM SEW TRK SS ZZ9.
20
,4STORM SEW LAT
1981 ,
__
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN Remarks
Addition Ches Mar Eact 3rd Addition Lot 2 Bik 3 Parcel #10 17152 020 03
Owner Street 1106 Kirkwood bafte bC' x State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. ? Z 19$2 1119.$ 223. S ?
STREET RESTOR.
GRADING . ?Lp1 1981 53 •49 U:70 5 ..-`
SANSEW TRUNK 1 1973 170..riA $,53 20
*
SEWER LATERAL
19$1 - -
2962.07- -
. 7 . -..
4
S
--
WATERMAIN
*WATER LATERAL 1981
WATER AREA q 3 19$2 280.00 56.00 $
STORM SEW TRK S51 1981 2.19? 24 - 4:3: gq. 5
*STORM SEW LAT I9$1
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
8UILDING PER.
SAC
PARK
L 70807 _=: ?rn / c,:? i _M/ 1 - _ n...
C'd?.o ? "'' ? " U
Req est Dat
3
` 9` Fire No. R h-in Inspecli0n
Requiretl?
'- es C No
? Ready Now,.E?I Notity Inspecror
When Reatly? .
?ensed contractor ? owner hereby request inspection of above electrical work at:
Job AtltlressYStreet. Boz or Route No.l
?Q /!/ • ?GPJUd ? Ciry
? cL^n?
Section No. Township Name or No.
. Range No. COUnty
?
OccupaM IP NT? Phone No.
Power S lier Atltlress ?
Electrical ntract?Na e) ? Cont 10?5 License No. /
(/
Mailing Atltlress 1 omraclor or Owner Making Installationl
, /
Authonzed Si nature iContradov wner Ma//kjing In talla6 n? ,.
- _ . .-_ L ? Phone umber /
. (/ ? -3`f
MINNESOTA STATE BOARD OF ELECTRICITV THIS INSPECTION REQUEST WILL NO7
Griggs-Midway Bldg. - Room 5473 8E ACCEPTEO 8Y THE STATE BOARD
1827 University Ave., 5f. Paul. MN 55109 UNLESS PROPER iNSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
d 7J8n7
REQUEST FOR ELECTRICAL INSPECTION
? See ieslructibli;for completing this form on back of yellow copy.
"X" Below lNork Govered by This Request
?,'
?rV?#?
?n?:' -.4111
Q a?? ?
/?
e Ad2 Rep. .. TypeotBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Oiher-(Specify)
Comm.llndushial Furnace
Farm Air Conditioner
Other (apeciry) Contrecror5 Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # Circuifs/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 Amps
SIgnS Inspector's Use Only: TOTAL Q
' Irrigation Booms ?
D?
Special Inspection ?
Alarm/Communication THIS INSTALLATION MAY BE ORDE ISC NNECTED IF NOT
Other Fee ? COMPLETED WITHIN 18 MONT
I, the Electrical Inspector, hereby Rough-in
!._
certity that the above inspection has
bean made. F;?ei oate
f ;-.2??-??a
OFFICE USE ONLY ?j
This request voitl 18 months fmm
?-
« 7nRns
REQUEST FOR ELECTRICAL INSPECTION
? Sea instructions for compieting this form on back ol yellow copy,
'X".9e1o+iiW'ork Covered by This Requesi
.u;,,•
ew `Ar7tl Rep. TypeoiBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other-(Specify)
Comm./InduStrial Fumace
Farm Air Conditioner
Other (specify) Contredor§ Remarks:
Compute Inspection Fee 8elow:
# Other Fee # ServiceENranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps ' 1 /31 0 to 700 Amps
Transformers Above 200 _ Amps Above 100 Amps -
SIgf1S Inspector5 Use Only: TOTAL ? O
Irrigation Booms 0.0
?-
Special I ns pecti o n
Alarm/Communication THIS INSTALLATION MAY BE ORDERED C NNECTED IF NOT
Other Fee ? COMPLETED WITHIN 18 MON=}iS5 i'
I, the Electrical Inspector, hereby Rouqn-in
certify that the above inspection has
been made. Final 0? Date
'
OFFICE USE ONLY . ?
This request void 1B months irom
- ? ?? ?a
?
Request Da6 ' Fire NtW ough- ct
Requiretl?
? Feady Now ,?.IMitl'Notiiy Inspector
R
d
7
Wh
? s G No en
y
ea
I? ensed contractor p owner hereby request inspection of above electrical work at:
Job Atldress (Street. Box or R ute I Clty
GvDo
Section No. Township me or No. Range No. Coun La'' `%?"
Occupa t(PRIN Phone No.
Power Suppli Atldress `
Eiearica Co ctor ICOmpany Namel ? Co r roi5 Liqense No.
O ?
Mailing Adtlress (Gom ctor or Owner M king Instellation?
!
Autnoriz naNre (ContreclorlOWner Making InStallaUOn) - Phone?yymber
%
MINNESOTA STA7E BOARO OF ELECTRICITY ? THIS WSPECTION REQUEST WIIL NOT
Gr189e-Mitlwey Bldg. - Room 5•173 BE ACCEPTED BY THE STATE BOAFD
1821 Universily Ave., St. Paul, MN 56104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
?/J k REQUEST FOR ELECTRICAL INSPECTION
?? ? Sae insiruclions for completing this brm on hack of?ellow copy.
"?l" Below Work Covered b This AeQuest
a°
E&00001•OB
'rf jAprV
ew Addj Rep. Type of Building Applia . Jired EquipmentWired
g Home Range - Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./lndustrial Furnace Other (Specity)
Farm X Air Conditioner
Other (speciry) Contractor's Remarks:
Compute Inspection Fee Below
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool - 0 to 200 Amps 0 to 100 Amps
Transtormers Above 200 _ Amps . Above 100 Amps
Sigf1S Inspectar's Use Oniy; ? TOTAL
Irrigation Booms 20.50
Special Inspection ?
Alarm/Communication THIS INSTALLATION MAY BE ORDER D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Eleclrical Inspecror, hereby Ro?9nan oate
certify that the above inspection has
been made. Final ? Dat
?- r j•'Y ?
OFPICE USE ONLV
This requast voitl 18 months Irom .
T ?-r?a??
VICP
'?
O
Request Date . Fire No. oug Ir.?Setfioa Pequiretl Inspection Olher 7han Raugh•In
8
4 (?'ou mu51 asll inspecTr when ready) ? qeady Now ? Will Notily InBpecbr
7/
/ 9 ? yes - 91 No Dare Feady
I I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlress IStreeL Box or Route No.l Ciry
1104 Kirkwood Drive Eagan
Section No. Township Name or No. Range No. County
Dakota
OCCUpant(PRINT? Phone No.
Scott Westre 688-0566
Power Supplier Atltlress
Dakota Electric Inc. 4300 220nd St. Farmington, MN
Electncal Coniractor (Company Name) . : Coniractor5 License No.
Total Electric, Inc. CA01834
Mailmg Address (Coniractor or Owner Making Installation)
1537 92nd Lane N.E. Blaine, MN 55449
Aulhon2eC Signature (ContraClor/Owner Making InStallati0n ) Phone Number
786-8484
MINNESOTA S7ATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-MiEwey Bldg. - Room S473 BE ACCEPTED eY 7HE STATE BOARD
1821 University Ave., St. Paul. MN 55104 G UNLESS PPOPER INSPEC710N FEE IS
Phone (612) 642•0800 ENGLOSEO.
.4O 797
REQUEST FOR ELECTRICAL INSPECTION
? Sae inshuclions tor completing lhis form on back oi yellow copy.
'X" Below Work Covered by This Request
dVs? EB-OOOQI-OB
??:'
e Atld Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt.Building Dryer Other_(Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specity) Contraclor§ Remerks;
Campute lnspection Fee Below:
# Other Fee # ServiceEntrenceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps ? 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
S1911S
Inspector's Use Only: p ?-
TOTAL
Irrigation Booms f a' ? S-
Speciat Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee i COMPLETED WITHIN 16 MONTHS.
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has
been made. F;,,ai oat
OFFICE USE JNLY
ihis reQUest void 18 monlhs from '
S4 7 7 ?? .3 ?1 47?
Requ6it Date
?? ?? ?? Fire No.
- Rough• Inspection
Requiretl?
es ? No
? Ready Now ill NotNy Inspector
When R6ady?
I icensed contractor p owner hereby request inspection of above electrical work at:
Job Atltlress (Street. Box r Route No.) Ciry
Section Na. ownship Neme o No. Ranga No. Coun
Occupam iP Phone No.
Power Supplier Atldre55
Electri ontraclor (Company Ne } ConJ[act?License / ?
f7?
?J
Maiiinq Atldr (Contrector m Owner Making Installa?ion)
Authori2e igneture ICOntractonOwner Making Installaton ? Phone Number
? ?~ 3
MINNESOTA STATE BOARD OF ELECTRICITY ? THIS INSPECTION REOUEST'NILL NOT
GrIB9s-Mitlway Bldg. - Room 5473 ' 8E ACCEPTEO BY THE STATE BOARD
1821 Universlry Ave., St. Paul. MN 55104 UNLESS PROPEF INSPECTiON FEE IS
Phone (612) 642-0800 ENCIOSED.
Address 1104 xTxtzwooD DRTv8 ' Zip 5512 3
LAt ' BIIC 'I SUb !'.F7F.G MAR RAST WD
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF TEIE FINAL INSPECfION.
Date: ?? ?(p Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish
Deck ill
Please vecify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy G)
Address 1106 KIRKWOOD IANE Zip 5512 #3
,„ .
Lot `?2 ? Blk 3' Sub aEs Mx Easr 3xn
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: . ?(? ?? Yes No Inspector: S
Final grade (6" from siding) f
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent. gas
Sod/Seeded grass
Trail/curb damage ?
Porch
Basement finish
Deck
Please verify with the buIlder the removai of roof test caps from the plumbing sy?tei and ihe shut-off of water supply to
the outside lawn faucet before freeze potenqal exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy 0
City of Eapff
3830 Pilot Knob Road
Eagan MN 55122
Phone: (659) 675-5675
Fax: (651) 675-5694
? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ -
I F?or Office?se y? ?
? Permit#:
I Permit Fee: o'? I
I ? I
. ? Date Received:
I
? I
Staff: I
- - - - - - - - - - - - - - - - -
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: SiteAddress: /) 1'Pl(UIUOd D?141'e p ? ?w -SSIa 3
? ?r
Tenant: ??? d,'L 2 /\ Q. cI ?P S Suite #: ?/?iq
?'
&
/
1p S/ ???? ???
RESIDENT! OWNER uhP S Phone: LLl = (LS/-??.?
Name: Cci v? a 1 C'
,'C / w
Address/CitylZip: 4 61!? ??.'Yl< CcJCe/ rl IJ v{ f'g q a
Applicant is: ? Owner _ Contractor
TYPE OF WORK Description of work: d 5 ? r
yds ffov-e ; a rof qs
Construction Cost: QYYnr'n--0- d Multi-Family Building: (Yes ? No
CONTRACTOR Name: License #:
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 ,.
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar pian based on a master plan?
_
? ,?
_Yes _No If yes, date and address of master plan:
.
Licensed Plumber: Phone: ! L ?N 0'
Mechanical Contractor: Phone:
Sewer 8 Water Contractor: Phone:
NOTE; Rlans and supporting documents fhat you submif are consitlered fo be public informafion: Portions of
the information may be classified as non-public;if you provide specific reasons that would permit the City to
coriclutlethatthe _are?"trade'secrefs.?: .
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 staR 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 i ti 4 r' c? !C e ?,2 5
Ap ip canYs Printed Name
X?-n?
ApplicanYs Signature
?
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? 05-plex 0 16-plex ? Accessory Building ? Pool
? Single Family ? 06-plex O Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
O 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF
? 02-Plex ? 08-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc.
? 03-Plex ? 10-plex Lower Level ? Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement O Siding ? Demolish Buiiding*
? Addition ? Move Buiiding ? Reroof ? Demolish Interior
X Alteration ? Fire Repair ? Windows ? Demolish Foundation
? Replacement ? Egress UVindow ? Water Damage
' Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation Occupancy MCES System
Plan Review ?/fAR Code Edition 10? 6 SAC Units
(25%_ 100% Zoning City Water ^
Census Code
--???- Stories - Booster Pump ?
L
# of Units ?
Square Feet ^
PRV
"
# of Buildings - Length " . Fire Sprinklers ?
Type of Const. ? Width ?
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock
Footings (deck) FinallC .O.
Footings (addition) ? FinallN o C.O.
_
Foundation ? HVAC
Drain Tile Other:
Roof: _Ice & Water Final Pool: _Footings _AirlGas Tests _Final
? Framing Siding: _Stucco Lath _Stone Lath _Brick
Fireplace:_,_R.l. 4Ai _
rTest Final Windows
? Insulation Retaini ng Wall
Reviewed By:
----------------------------- , Building Inspector
------------------------------
----------------------------------------
------------------ -----------
-
RES/DENTIAL FEES:
?
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
S8W Permit 8 Surcharge
Treatment Plant
Copies
Total
Page 2 of 3
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Constructbn ReaulremeMS RemodeUReoair Reauirements
• 3 registered site surveys showing sq. ft. of lot, sq. tt. oi house; antl ?II roofed areas • 2 copies of plan
(200k maximum bt coverage albwed) . 1 set of Energy Calculations for heated additions
• 2 wples of plan showing beam & window sizes; poured tound design, eta? • 1 srte survey tor exterioraddrtions & decks
• i set oi Energy Calculations . Indicate if home served by septic system for additions
• 3 copies oiTree Preservatlon Plan H lot platted after 711/93
. Rim ,bist Detail Optbns selecfbn sheet (bldgs wilh 3 or less units)
DATE (_-0 1 -0 ! Ua VALUATION -709 )
SITE ADDRESS I IQq tl= fr, k I.JoOc4 b" - MULTI-FAMILY BLDG _ Y _ N
NPE OF WORK_ TQa-r' a;11 j&Ytbf:- /5 f6,ng ` Gu44' ?q ~RREPLACE(S) _ 0_ 1_ 2
APPLICANT Le-V Z C pr 7&s T7JC-
STREET . DDI?ESS 3G? V ?1'` 7 3?" CIN ?? ? STATE w1ti21P
TELEPHONE #?ys- y 9o q CELL PHONE # 2'2-? 7`c3`l? FAX #
PROPERTYOWNER C?V1 a??Q eeq,0s TELEPHONE# (OGa - (0 35 ?
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR uNEWr RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MI
,
(?l submission type) . Residential Ventilation Category 1 Worksheet Submitted • e C e h
• Energy Envelope Calculations Submitted
? JUN 0 6 2002
Plumbing Contractor:
Plumbing system includes:
Mechanical Conhactor. _
Mechanicai system includes:
Sewer/Water Contractor:
_ Air Conditioning
_ Heat Recovery System
Phone #
Fee: $70.00
Phone #
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 Ordinances.
Signature of Applicanf
OFFICE USE ONLY
_ Water Softener _
_ Water Heater _
_ No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04plex
? 07 05-plex ? 13 16-plex
? OS 06-p16x O 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. (4sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 ACCessory Bldg
? 31 Ext. Ak - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
0 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)" ? 43 Reroof ? 46 WindowslDoors
O 34 Replacement •Demolition (EMire Bidg only) - Glve PCA handout to applicarrt
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 W idth
REQUIRED I NSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (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 (newheplacement)
_ Insulation _ Retaining Wall
Approved By
Building Inspector
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
RESIDENTIAL
BUILDING PERMIT APPLICATlON
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conetructlon ReauiremeMs
• 3 registered sAe surveys showing sq. ft. of lot, sq. ft ot house; and L1.1 roofed areas
(20% macimum lot covsrage albwed)
• 2 copies of plan showing beam & window sizes; poured tound design, etc.)
• 1 set oi Enerqy Calculatbns
• 3 copies of Tree Preservation Plan N lot platted after 711/93 ?
• Rim Jofst Detail Options selectbn sheet (bldgs wAh 3 or less unfts)
DATE (01-7 / va
RemodeVReoalr ReauiremeMs
• 2 copies of plan /?? 7?
• 1 set of Energy Calculationsfor heatad addKbns
• 1 sitesurveytorextetloradtlilions&decks
• Indicate 'rf home served by septic system for addftions
VALUATION
SITE ADDRESS 1 I D(D K fr K(A/CXiA ()r? MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK t156f I94--CC)0? / `3?CVY-PA ?EPLACE(S) _ 0_ 1 _ 2
APPLICANT LeaU e_4 Ca'lST .
STREET ADDRESS 3 9 -c-73 vpF??-?' ?) 3'T'-- CITY :176 STATE W^J ZIP
TELEPHONE #952, S?5"W9 CELL PHONE # Z2(-°' 7 `a `i ) FAX #
PROPERN OWNER C' C-L-r v) fA i I-jPf - TELEPHONE # (.Dg(,'gn2
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR aNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 72
(V submission type) . Residential Ventilation Category 1 Worksheet Submitted PJUtq e y?id heet Submitted
• Energy Envelope Calculations Submitted 0 6?002
Piumbing Contractor:
Plumbing system includes:
Mechanical Contracfor:
Mechanical system includes:
Sewer/Water Contractor.
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
$90.00
Fee: $70.00
I hereby acknowledge that I have read this application, state that the information Is correct, and agree to compiy
with all applicable State of Minnesota Statutes and Ciiy of Eagan Ordinances.
Signature of Applicant ?aa-4.z?
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan ReCeived _ Not Required _
Updated 4102
_ Water Softener
_ Water Heater
_ No. of Baths
Lawn Spn`"er '
No. of R.I. Baths
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
O 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
O 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 PorohlAddn. (4sea.)
? 23 Poroh (screened)
? 24 Storm Damage
O 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
0 32 Addition ? 36 Move Bldg. 0 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowsiDoors
O 34 Replacement "Demolition (Entlre Bidg only) - Glve 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 I NSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footinge (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof Ice & Water _ Final _ Poo] _ Ftgs _ AirlGas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test ` Final _ Windows (new/replacement)
, Insulation _ Retaining Wall
Approved By
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Piumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
, .
CIfiY OF EAGAN
3830 Pilot Knob Road
' Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-17152-010-03
PERMIT TYPE:
Permit Number:
Date Issued:
1104 KIRKW00D DR
LOT: 1 BLOCK: 3
CHES MAR EA3T 3RD
s/d/7
BUILDING
020885
05/10/93
DESCRIPTION:
Building_.Permit Type DUPLEX
=;Building Wo_rk Type NEW
, UBC Occupaney%. R-3 M-1
Construction Type V-N
Zonfng -•? PD
Suilding Length 26
Build3ng Widtk
-70 44
; -
`.
is
r
_
N
'J
r
REMARKS:
S& W PLBR - DRESHER EXCAVATING
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
$545.00
$354.25
$39.50
$750.00
100
$1,688.75
$79,000
MISCELLANEOUS 1 744.50
Total Fee $3,433.25
CONTRACTOR: - Applicant - s7. LIC. OWNER:
FEATURE BUILDERS 14358443 0001167 FEATURE BLDRS
15513 LOGARTO LN 15513 LOGARTO LN
BURNSVILLE MN 55337 BURNSVILLE MN 55337
(612) 495-8443
?
i hereby acknawledge that I have-read this appla.cation and state that the
information is correct and agree to comply with all:applicable 5tate of Mn.
SCa'tutes and City of Eegan,Ordinanees.
-2Q:
APPLICANT/PERM E IGNATURE J
,. ...
PERMIT '
f'?nc,n RQad.I
I'SSUEDE14SIGNATURE
-1
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: eux LoING
3830 Pilot Knob Road Permit Number: 0 2 0 8 8 5
Eagan, Minnesota 55123 Date Issued: 0 5/ 10 / 9 3
(612) 681-4675
SITE ADDRESS: L0 7: 1 B L 0 C K: 3 APPLICANT:
1104 KIRKWOOD DR FEATURE BUILDERS
CNES MAR EpST 3RD (612) 435-8443
PERMIT SUBTYPE: TYPE OF WORK:
DUPLEX NEW
INSPECTION
FOOTING .A INSPECTIONTYPE
FRAMING .•
INSULATION FINAL
FIREPLACE
REMARKS: S& W PLBR - DRESHER EXCAVpTING
F-
?
?
?
?
WY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(61'2) 681-4675
PERMIT '
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDIN?G
020866
05/10J93
SITE ADDRESS:
P.I.N.: 10-17152-020-03
1106 KIRKWOOD DR
LOT: 2 BLOCK: 3
CHE5 MAR EAST 3RD
DESCRIPTION:
BUild'irig,-.Permit Type DUPLEX -
8u3.id3ng 4loark Type NEW
UBC 4ccupsnC}?!=,, R-3 M-1
'..Construction 7y=pe V-N
Zclning , PD
Building.length 26
'Buildina Width 44
, .
t ?+
.,
REMARKS:
S& W PIBR - DRESHER EXCAVA7ING
FEE SUMMARY:
vaLuarinN
Base Fee
Plan Review
5urcharge
SAC
sac %
SAC Units
Subtotal
$545.00
$354.25
$39.50
$750.00
tee
1
$1,688.75
$79,000
MISCELLANEOUS $1.744.50
Tntal Fee $3,433.25
CONTRACTOR: - appiioant - sT. l.=c. pM/NER:
FEATURE BUILDERS 14358443 0001167 FEATURE BLORS
15513 LOGARTQ LN 11513 LOGARTO LN
BURNSVILLE MN 55387 BURNSVILLE MN 55337
(612) 435-8443 (612)435-8443
°.
I hereby acknowledgs thst I have reat# this aPPlieaCian and state that tkte
informati'on is carrect and.agree.ta camply with all appliGable SGate,of Mn.
5tatutes and Gity af Eagan Ordinances. =
? INIA &
E ISSUED Y:uIGNA R
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: gurLniNG
3830 Pilot Knob Road Permit Number: 020886
Eagan, Minnesota 55123 Date Issued: 0 5/ 1@/ 9 3
(612) 681-4675
SITE ADDRESS: Lpr : 2 sLp G K: 3 APPLICANT:
1106 KIRKWOOD DR FEATURE BUILDERS
CHES MAR EAST 3RD (612) 435-8443
PERMIT SUBTYPE: TYPE OF WORK:
DUPLEX NEW
INSPECTION
FOOTING ., .
FRAMIN6 .A
INSULATION FINAL
FIREPIACE
REMARKS: S& W PLBR - DRESHER EXCAVA7ING
?
; . ? i ? •
.
` i
,
?
?
?
- ,?CC???M[?DD triir vr rrAcap?n ?? ?
•,?
1993 BUILDING PERMITAPPLICATION ? M^?
- Y M,4Y 0 5 1993 681-4675
iNGLE $ MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: i) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date t 3 Valuation of work 6,o, ang
Site Address: 11?? W-
STREET SUITE *
Tenant Name: (commercial only)
IAT f BIACK 3 C6ur)... -7?1'k"
SUBD.
?
,
. P.I.D. 0
3? ?
?
-
c?c.?st?n-v?
Qescri tion of work: " J)6 '
The appl icant i s Q Owner Contractor ? Other (Deseribe)
Name Phone Y35--R?4`3
Property ST FIRST
Owner Address /5.5_!
STREET STE x
City State Zip
Company Phone
Contractor Address l S?J ;-??.- , License #01301i67 Exp?-x1L-'L
C i ty State "?-. . Zi p
Company Phone
Architect!
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber !L?ir.? ?? j'aL Processing time for
sewer & water permits is two days once area has been pproved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to compiy with a11 applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDfNG PERMIT TYPE 0 Ol Foundation 0 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc.
O 03 SF addition O 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch 0 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
.
0 16 Basement Finish'
? 17 Swim Puol
? 18 Corrm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneaus
JS 31 New ? 33 Alterations ? 35 Tenant Finish ? 31 Demolish
? 32 Addition O 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) y'-t? Basement sq. ft. M{WCC System Y?
(Allowable) y- N lst F1. sq. ft. City Water •Y Fs
UBC Occupancy p,_3 M_I 2nd Fl. sq. ft. PRV Required
Zoning PD Sq. Ft. total Booster Pump
# of 5tories Footprint Sq. ft. Fire 5prinkler
Length On-site well Census Code ia z-
Depth On-site sewage SAC Cde
!=
APPR4VALS ?-
PTanninq Building Assessments
Engineering Variance .
REQUIRED INSPECTIONS
O Site
? Wallboard
? Footing
? Final
? framing
? Oraintile
? Insulation
? Fireplace
Permi t Fee 00 C) f
vaiuscior,: S 7?
Surcharge ,
Plan Review 6 A«QC-?; Zz x Z?, = 5'7Z
License 11 x a - 014)
MWCC SAC
City 5AC
l6
x ??
? &
=
Water Conn.
- ,
Water Meter a6 x:R?
Acct. Deposit R "?? ? a`?
5/W Permi t Ky IS-= g I 6
S/W Surchar9e
? 5-
F ?
Treatment P1 . r
Laorc :
ROad Unit
.
Park Ded
dE ny4= IIN4 }?
??
Trails Ded.
Copies
t-f
Other
Total:
SAC %
SAC Units r
PERM
IT APPLICATION
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 topy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month•
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 199.3 Yaluation of work 601. n
Site Address: li6 6 - ?'?'?._? h4? ?-?,•_
STREET SllfTE 0
Tenant Name: (commercial only)
IAT aZ. BIACK ? SUBD. N
Descri tion of work:
The applicant is: 4 Owner ?Contractor ? Other (Deccribe)
Name ?1471, Phone ?fi3s- b'?q,?
Property AST FIR51
Owner Address ?s 5-1; _ V6?.'L_? -4L .
STREET STE N
C i ty St a t e:;r? ? Z i p
Company Phone `i 35''k t7`!3
Contractor Address 3• aU.,77;eo _ License #'Dootiv-7 Exp. ??, ?``F
City State Zip S-1,33?
Company Phone
Architect/
Engineer Name Registration #!
Address
Lity State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days-once_area has been proved.
I hereby ac-knowledge that I have read this application and state that the information is
correct and agree to comply with a17 applfcable State of Minnesota Statutes and City of
Eagan Ordinances. ?
Signature of Applicant:
BUILDING PERMIT TYPE
? 01 Foundatian
? OZ SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
0 06 Duplex
? 07 4-Plex
? 08 8-Plex
O 09 12-Plex
? 10 Multi. Add'1
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 6arage/14ccessory
? 14 Fireplace
? 15 Deck
O 16 Basement Finish'
0 17 Swim Pool0 18 Cortm./Ind.
? 19 Comm./Ind. Misc.
O 20 Public Facility
? 21 Miscellaneous
WORK TYPE
B 31 New
? 32 Addition
? 33 Alterations
? 34 Repair
? 35 Tenant Finish
O 36 Move
? 37 Demalish
GENERAL INFORMATION
Const. (Actual) \/- N Basement sq. ft. MWCC System Y'E5
(Allowable) \I - ni lst F1. sq. ft. City Water yLs
UBC Occupancy iz-3 M-j 2nd F1. sq. ft. PRV Required
Zoning pD Sq. Ft. total Booster Pump
# of Stories Faatprint Sq. ft. Fire Sprinkler
Length On-site well Census Code io z
Depth zi k On-site sewage SAC Code 01
Cbv?us $1J9 r
APPROVALS
Planning Building Assessments
Engineering Yariance
REGIUIRED INSPECTIONS
O Site
? Wallboard
? Footing
? Final
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City 5AC
Water Conn.
Water Meter
Acct. Oeposit
S/W Permit
5/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
vatuae;«,:
CanaaGG;
.SK S ?' xlE : ?3'768
.
85?7=
?q y'??/S
1sr t
?-----
?y -? UL(
SAC % I vo
SAC Units I
• I , va. v. ..v...._'____ '
. EXTERIOR ENVELUPE e1VERAGE "U" C0:1NU"CATIDV , +%.*ner 0<44_tz" elU.? Phone 433'°?qq3
.ural DestrLPtioci o: Pzoperry' Lntl`?'oZ Block ? .?ddiCioa ???•C?rf?,r`,F?s,,,, Date',?-?,'? •
: E [e Ac?d ress t ! e + ! / r
AVERAGE LI?lEAL FEET OF
EXPOSED kTe1LL ARe.A ABDVE CRADE PERMIT,170,
tain level , , I '
'
Linea2 f[. of framed wx1Z 2Sove grade( x 'height o: uall ? ° ?;???
:tm joist area • ! ? ? ?
Lineal ft. oi rim x3ieight of rim i
LaLer level
x height of wall
Lineal ft. of framed wa21 above grade /-"
Lineal ft. of masonry crall above grade x height above grade _
_ TOTAL vail area above grade including z:indous and doors
.'_'.1'DOSZS: Area x "lI" value
i
. 'fake 6type fY- (U)
9-
u. n ? sq. fY. x u?.. -._-?------ (U)
sq. ft.
Sq.
---
a sq. ft_ (L') G
?-
n sq. £L x
sq. f2? X
r Zr_
sq. tT. X rovu r`(U) t'
s. .o /60 i:. 2? _ ? '• ` - - ' -
sq. fi. .. -x r,Uro - ili3 :
?t u Stj. iL. (U) ?-
I . a a sq. $L. (U) (:.
SQ. ft. X oul+ - 00
,? . .? sq. £t_ x saU.r ---=-"_(Li}
! ..?' .? sq. ft. x ,?U.? _ ?[3) !.
£L_ X ?iCn = (l3) ?_.
• o u sq. £t. X .?u,.. _ . . . _ . . . (L') t-
-.i:. u v sq. ft. x (U) /? yG S7.
. i100RS: Area x °U" value ' • < - ' . . ?
:lake d typC Z ?!'r('iJ ? %Cn-f7v? sq. ft. ? g. . _ x nU,? ? /. (U)?.'
. v n sq. #t_ X ltUu _ f') °_____? •?! MC .
- n n sq_ ft. ? X nUn ?`? M:..
. . n - a sq..£Y. X uUu = (j%) C.
:OYAOUE W41LL COI:STRUCTIOy; Area x "U" value '? . - .
FFAMED I:ALL (total area iess ' - . ;. . ,
openin£, framing r..embers in .. .' • r • ' .,. :
Uetail re,`. er- wal l , rim j oist area S masonry) • ' , •. ' • • n _ ? •
4nce fzom Sn, tr_
? attache.d ?? ??
shcetr Franins nembers in i:a21 sq, ft. ??..C x U D9(t1)` (
Rini joist arca sq. fr. A iu?- tU/
T1isnnry aren aho"e rrsq. ft: ' x U (U)
-.-...Z-2 .-?
• TOI'Ai. t:all Arca Including f ?7 `7
Windows S Doors G TOTi1L (ll) (A) / • (l
'f(tTAI. (U) (r1) VA1.iIfiS 1?V4%. °11•• • ' 07 -?
Ol\'ID:iD lY 2'b'I'.lf. tdAi.l. A!:I•:A .
A\'t+1:ACC "U° Yiinimum .17 ur less for 1 6?. famlly dwellings '
:li.fiimtnn .22 ur lvs5 for all nc.icr lou.tldings
\OTE: 7C nverage "U" valuv.s ns calculated above do not trreC the IinerhY fode requir?•m??nCs, the •
...,._..--°--•--'_---'_'??,s•_..._.._.-._.......+.,"...__.??.....t_....?? .,r i.nR{.?.?f.nrl_nn T_AOia. Ci._nt\•. lie_uSMl'. _
)i. of •;pdque :+aiL
- '
,Nll1;S Ole0lbeC3
. , . FfW.Yt`C HE34i3ERS I:! SIALLS '
.Top l'icv . . .
F.x[prio^ atr fil+s
r?
Siding
i F
?i Sheathin3
1) I { sost voua
z:- • :
!f);; nrl -dry wall
?
i?
i?
?
R-Value
? ? .
(6
.45
.68
Ir.tertor zir film .
'
'
' ' - • ?. _`7. •.
.
. TOTAL R
' Q a' 1/E
FRldi? SdaI.L _ • . ' _ . '
Exterior air filn
_ ' . ?? .? .?'
Siding' . ? . . • --- . ? 'c.
. . '.
: ? . . ?` •? ?`?% ?
Sheathing
.
[ion y
3-? batt insula
- . ' . ' • . :45. ' .
? .? er • ,a' 1.
'
? ? • ? ? ?
? ' .b8
Interior air fil
' •
?
' ? V -1 • -
'
. _
1/g .
..
q ?.
II
. RDi SOLST ARE4 ? . • , . . . . • . .:-
Exterior a3r fila
$iding . ?--------
.
Sheathinp,
. .. • . 1.88 -
I aHn -
Interior air fit - -
. , ''.TOTAL R -
U^1/g . D? Li
NASONRY WALL . • ,
.27
Exierior air fila
/J
.(j
12" certcrete block
?,
i • % .
-
on
Insulat
.68
InCerior air fil?
13 .
l 3
roTAL R _
-
. 07
U - 1/R U ..
• E:UOF CE:iLM,
. y
_ Outsi,de air film ' .61
Insulacion
DryK%a11 .45
Interior air film .61
TOTAL R = y? - ? !
I
. ..
. `:??? •
Dal/R
iR¢ . 0L,
Outside air film
Insulation
34" Dryaall '45 '
Interior air film , -61
TDTAL R =
D R 1/R ., .• a „ -
Duiside air fiim . . '17
j?j]r. n rnnfino ? . -33
Insularion
12ood decking
Iiiterior air film .62
, . • ' . ' TOTAL P. _
`:, ' ' • U= i/R • : D=
' : , ' • COOF/CLILI4:C: . ' . . • . ? . ? ' ' ? .. '.
? TOTAI. AREd: ..
'• sq. ft.
`
'
3
(U)(A)
' Uetail refezence • ,1 •'U x sq. f[. !
S 7
n?
e
F
b sq. ft. • (U)(»
.
ov
rom a _ (U)(e.)
Describe openings
' sq, ft.
fc
x s (U)G•)
in roof lU„ q,
.
x sq. ft. (?t)(A)
..U? a sq. ft. (U)(A)
x sq. ft. (U)(A)
. -TOTALS ' ft. z? . S 8 (v)
roTnL (u) (n) vni.uFS /'1 ?7 • .
niV7D°_D RY TO"fAL I:OOF/ AVC.
GtILIPiC AP.EA . . . . . .
A@F:RACE "U" .OS !or vr.ntilated ronfs . ,10 for all o[!:er caastructlon '
\OTF.: IE ave.raLC "U" values as calculated abo='a do not r.,>et tlie £.neergy Code rcquSren:znts, the
"Ntcroa[e Gnvelope Drs;gn" 03 inc:icated on 1'?ga'Snap be,u,?
c.{..: .
' _ , • . i?-. . - . • .
? . - . . • .. .
. . . . ?: .
.. . ,' ,
Grade
. . • :: '- •. ' -
. : ' : • '.. •t;' '
. . ., . . , .
. . }. . _ . . . . • ° . . .
• .,. .. ._
Insalation shall have a minimum R-Value of7.5 end?must .
extend horizoutally (as illustrnted) or veztically a
distance equlvalen[ to the design froet 11ne; eh3t is:
Zone 2= 3 feec b inches ' Insulati0n c1»11 have n tiinlmun R-Value of 7.5 around the ?
pcric,c:er of Slnb on gradz flonrs.
C
' THE TOTAL ENVCL02F CALCUL.%TION METkIOD
j
foz b
7he regullcions state Cha[ al[ernative ovetall "(I" va2ues uilding sections ?r? PFrr?155a?!?
' if it is sho-n that the total building envzlope heac loosJp.aio does no[ exceed tha[ of ? ?
a d2. '
the ' uIy ltliebv:+llsnandfirooE/ceiling cciLeria?Ras9,uming?t^3=?therecain3eriof c[he ? buLldinR r..ee[s
regulatiu? requireaen[s. . '
A. `To:al hent loss as desirned (va11s an3 roo_'/ceiling,) BTiJ/hr. dep,ree F.
? • . "
asiis - uoap = aLZre__o>a _ '?U° of
va21 esse_bly s avera8e wall area _ sq..ft.
.
z
HaoE/Ceiling = UoAo ? Avarage uUn
^ area sq. ft. I
of ceiling z average ceilitty
• TOTAL
6. 7'otal hea[ loss if desioned to meet the regulation s.ininua (valls and roof/ceiling) ' i
I
Ualls = U A = N.inimum required
0 o nU" va2ue of wall r, average s7a11 area sq. ft: °
: Roof/Ceiling = oAp = ?linimum required
I "a•• value of .' '. • . `. , - ?
ea `sq: ft. ?
- eeiling x averag2 =ei7-inS u . ;
, . . - .. . . . . . . _ . i
' . • ' . . ;TOTAI.
. . . . . ..?_?? _ . . •. - • . ' : . ; . l
. . table na--be`used as a g?e=ai gu3de line for
The follwing y s when_I.wesi ., i
' deterauning allowable pezcentage of wa11 opening -,.
°ll" value is established.. , . . •• _ ? . % Wall
• 0 eninR , 10.6 13.4 15_6 17.2 i8.6 19:7 ? 20.6 ?l.4 1 22.1 ?
. . ` ?Sinimum
R-Value lZ 13 14 15 16
0 a ue Z:all 8 9 10 ll"
;L Wall 25_0 25.2 ? 25.5
? . 0 enin, 22.6 23_1 23.6 '24.0 24_?+ 24.7
- Ttinimum _' . '
'. R-Value 20 21 22 Z3 Z4 25
0 a ue Wa7.1 17 13 19 _ - ?
_ . . . _ - . !
" .' .. . • . - ...- . - - ?. - - _ , . . . . i
: . .` - ' - , _ . . . . . . . ' .. - . .
' ? - ._ • ... ' ' I
. D enin area (s4_ ft.) ' '?X 100 = - -.x- .
• Openino F wall area above grade (sq. ft.) ??.. ' DpQning in s:all :
.? ` The following table may be used as a general guide line Tor . ' "
' - . determining allowa6lc percentage of zoof opeaings when.los:esL. , .
"U" value is es[ablish_d. . , , - •• ' . ' . . .. . • '.
' . ? i . - ' - . . . . . , . . . • •
. ' . . ? . . . '
. ? . X Roof 2 3 U42. . '
Opening 0 ; . ' .
Minimum R-Value oi p n
uc nof 20.0 22.3 25.1 29.O enin , arca (•: . ft.) X 100 - ---x ,
Openinp, 6 roaE/ccilin., area (sg• openinp in uall
Psepared by: Dennis J. Luns]:i
. Building Ins-j°ctor
• City of- Burnsville
.
....... .... ... ..Ainn_ei an
?
U •
a11
r Q
W
? J
m
J a
U
J
F a
W a
U 8
a Z
?
?
?_/??
L9' ?
? ?
GI1 ?
....,77:: 7MR RESIDENTIAL
Of
N BLIILDING PERMIT APPLICATIO
s' PROPERTY LEGAL: ?
W
N Date of Survey: ?
?
? DOCUMENT 3TANDARDS
? • Registered Land Surveyor signature and company
? • Building Permit Applicant
? • Legal description
? • Address
? North arrow and bar scale
? • House type (rambler, walkout, split w/o, split
lookout, etc.)
? • Directional drainage arrows with slope/gradient ?.
? • Proposed/existing sewer and water services
? • Street name
? • Driveway
ELEVATIONS
Existina
? ? ? • Sewer service
? ? • Lot corners
? • Top of curb at the driveway
? ? • Elevations of any existing adjacent homes
Pronosed
C
?? ? • Garage floor
?
C?7 ?
? ? ? •
? • First floor
Lowest exposed elevation (walkout/window)
? ?
? ? • Property corners
? ? • Front and rear of home at the foundation
PONDING AREAS tif auvlicable
0 C3? ? • Easement line
? ? ? • NWL
? ?" ? • HWL
? ? ? • Pond # designation
? ? ? • Emergency Overflow Elevation
entry,
0""13 0 • Lot lines
Qo" ? [I • Right-of-way and street width (to back of curb)
C? ? ? • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
? ? ? • Show all easements of record and any City utilities within
those easements
,? ? ? • Setbacks of proposed structure and setback of adjacent
z'
? existing homes
i
, ? • Retain
ng wall requirements, if any
Reviewed:
Name / Date
October 1992
PERMIT
CITY OF, EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
SITE ADDRESS:
1104 KIRKW000 DR
L07: 1 BLOCK: 3
CHES MAR EAST 3RD
P.I.N.: 10-17152-010-03
DESCRIPTION:
B,uild'tng?'-,Permit Type
,Building Wisr,k Type
?
?
?z
r
l l
I ?
.. ..' \ _.?..,.......':....
\
? ? 1
?.
?? ? `•'/?.' ?
DECK
NEW
Li t?Z-
'4" (.J LI L
?
? _..?`? .. ' I
REMARKS:
FEE SUMMARY:
Base Fee $39.00
5urcharge $.50
7ota1 Fee $30.50
CONTRACTOR:
OWNER: - Applicant -
WESTRE 5Ctl7T
1104 KIRKWOQD DR
EAGAN MN 55123
(612)888-4121
I hereby acknowledge that i have read this
informatian is correct and agree to comply
Statutes and City of Eagan Ordinances.
dWl APP ERMITEE SIGNATURE
appl3cati4n and stat.e that the
with all applieable State of Mn.
cRZ4o4o
BUILDIN6
023563
05/11/94
?
I D B SI ATURET ?
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: Lo r: i a Lo c K: 3 APPLICANT:
1104 KIRKWOOD DR WESTRE
CHES MAR EAST 3RD (612) 888-4121
PERMIT SUBTYPE: TYPE OF WORK:
DECK
SCOTT
NEW
BUILDING
023563
05/11/94
INSPECTION ., . .,
FOOTIN6S FINAL
F
L
. . , .. ,
r
? , ,
. ,. .
• , ,
„ .
?
J
„„ .
S
„
i
" CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675 7N?IAY 0 9 1y9ySINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work
Site Address: L? o4 I\I?'rWWD prI V-'r,
STREET SU1TE l!
Tenant Name: (commercial only)
LOT I BLOCK SUBD. P.I.D. #
Descri tion of wortc: D? C?/' 12 X / o? ST41 S
The applicant is: )R?Owner ? Contractor ? Other (Descr9be)
Name W 6 571C-- Sc 071- P /11iri?G?hP?? Phone G 9:?-os66
Property LAST FIRST (N6 ? $gg- *i,I cKrt- 8Q3
Owner Address j( 0?- kjRV),A100O Dfi UC-,
STREET STE #
City L?G?Tl1/ State /J/r/ Zip Js??-P
Company 5/fiMlF. /f'b A"uVE Phone
Co ntractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
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.
?
Signature of Applicant: ?
OFFICE USE ONLY
B UILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ?? 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
11 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory O 18 Comm./Ind.
O 04 SF Porch 0 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
11 05 SF Misc. ? 10 Multi. Add'1. 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
P 31 New ? 33 Alterations O 35 Tenant Finish 0 37 Demolish
O 32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of 5tories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code ?
Depth On-site sewage SAC Code
APPROVALS Census Bldg ?
Census Unit
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site
O Wallboard
? Footing
?i Final
? Framing
0 Oraintile
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
vatuatim: $
SAC 9G
SAC Units
REACTIVATE X
P?RMIT.#
? ?0 4
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site of nergy
cal cs .
1993
y
?
1
COMMERCIAL +l?p
set of _
2 sets of architectural & structural%pla
specifications, 1 copy of enerqy calcs. _--?
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
in which request is made, 2) address fs changed or 3) lot change is requested once permit
is issued.
Date / P7 p--3 Valuation of work ?f CJ
5ite Address: ll? (9 k i?riCIV odC'?! JJ{'?'
STREET ? SUITE /
Tenant Name: (commercial only)
IAT BIACK ? SUBD. F . D. N
Descri tion of work: C_-?-
The appl i cant i s: Owner O Contractor ? Other (Dcseribe)
Name _< 777ol Phone
Property L T FIRST
Owner
Address
STREET STE 0
4
State Zip
City
Company Phone
COntt'BCtOC Address License # Exp:
City State Zip
Company Phone
Architect/
Engineer Name Registration ?
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I ha read this application and state that the information is
of
ota Statutes and Cit
f Mi
?
ll
li
bl
St
t
d
t
l
y
nn
s
correc
an
app
ca
e
a o
agree
o comp
y ? a
Eagan Ordinances. ? "=
?
/
?
Signature of Applicant:
? ? '? -
OFFICE USE ONLY
BUILDING PERMIT TYPE
D 01 Foundation
O 02 5F Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
? 31 New
32 Additian
? 06 Duplex
? 07 4-Plex
D 08 8-Plex
? 09 12-Plex
? 10 Mu1ti..Add'1.
O 33 Alterations
D 34 Repair
GENERAL INFORMATION
?
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessor
? 14 Fireplace
?15 Deck
? 35 Tenant Finish
D 36 Move
? 37 Demolish
Const. (Actual) Basement sq. ft.
(Allowable) lst F1. sq. ft.
UBC Occupancy ? 2nd fl. sq. ft.
Zoning Sq. Ft. total
?' of Stories Footprint Sq. ft.
Length I On-site well
Depth On-site sewage
APPROVALS
Planning Building
Engineering Variance
REGIUIRED INSPECTIONS
? Site [?Cfooting
? Wallboard ? Final
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
O framing
O Draintile
L/.3N
-1-
?
a
? Insulation
0 Fireplace
Permit Fee A
0 vet?cia,: S
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other .
Total.
.?
,
y O 18 Comm./Ind.
,? ??. ?
?r?
? 16?Basem,en??Fi.nish
0 17 5wim Pool
? 19 Comm./Ind. Misc.
? 20 Public Facility
021 Miscellaneous
SAC %
SAC Units
r .?
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
- ------------------------------------------------------ - -- - - --- - ----- -------
T" NEW CONSTRUCTION
? ADD-ON A/C
ADD-ON FURNACE
?v?e ?l3
DATE 4 UV
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OLITLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (ExtsTtNG CoNSTtucrtorr)
STATE SURCHARGE
TOTAL
SITE
FEES
$ 24.00
6.00
A.00
$ 15.00
.50
?Ov
/*
CIT'Y: 'rl STATE: NVI ZIP CODE:
TELEPHONE #:
SIGNATURE OF PERMITi E
1993 MECHANICAL PERMTT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
OWNER NAME: fG% ?6X-S TELEPHONE #:
r•'w• N
1993 MECHANICAL PERMTT (COIVMERCIAL)
CITY OF EAGAN
3830 PII,OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL C0MIIvIERCIAL,IINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMII.Y BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DATE: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF ?PNMM FEE $
PROCESSED PIPING:
MINIMUM FEE:
STATE SURCHARGE
TOTAL
SITE ADDRESS:
$25.00
$25.00
$.50 FOR EACH $1,000 OF f,;,; . FEE.
$
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE #:
SIGNATURE OF PERMITTEE CITY INSPECTOR
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT•
--------------- - ----- - -- ---- ---- - ---------------- - -------
NO.
?
?
1
?
SITE
SHOWER
vVATER CLUSE'?'
BATH TUB
LAVATORY
KITCHEN SINK
LAUNDRY TRAY
HOT TUB/SPA
WATER HEATER
FLOOR DRAIN
GAS PIPING OUTLET • minimum - i
ROUGH OPENINGS
WATERSOFTENER
PRIVATE DISP. • Dak.Cty. lic.
U.G. SPRINKLER • home under mnst.
ALTERATIONS • to otisting
WATER TURN AROUND
STATE SURCHARGE
TOTAL:
EACH TOTAL
3.00 ??
3.U0 fn ?
3.00
3.00 -
3.00 -5?21 ..,?,??
3.00 "?. `-"'
3.00
3.00 -3, nra
3.00
3.00
1.50
5.00
15.00
3.00
15.00
15.00
.50
?
OWNER NAME:FfCCi?A A .: C,.( .t O (IP.1rza
?
INST
ADD
CIT'Y: t'71 I( P STATEAN-1 ZIP CODE: ?
PHONE #: (('p!'Z ) -TA+-'??'a
1993 PLUMBING PERMTT (RESIDENT7AL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-0675
? ? ?I
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1% OF CONTRACT FEE.
STATE SURCHARGE: $.50 FOR EACH $1,000 OF J1?? FEE.
_...... ..
MINIMUM FEE: $ 25.00 '
CONTRACT PRICE X 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
$
$
$
7'ENAN'I' NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
CITY OF EAGAN
STATE:
ZIP CODE:
APPLICANT
1993 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
r_,k
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNIT.
X NEW CONSTRUCTION
W ADD-ON A/C
ADD-ON FURNACE
DATE a7CP, q ?
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OLITLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (EXISTTrrG CoNSTxUCrioN)
STATE SURCHARGE
TOTAL
SITE
FEES
$ 24.00
6.00
?? ao
$ 15.00
.50
OWNER NAM . TELEPHONE #:
INSTALLER:???-/
CITY:
STATE: ? ZIP CODE:
TELEPHONE #: - 0 =?/ 6.
SIG R OF PERMITTEE
1993 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6514675
? • - "}
1993 MECHANICAL PERMIT (COMMERCIAL)
C1TY OF EAGAN.
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMIvIERCIALlINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
DATE:
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
CONTRACT PRICE: $
FEES
1% OF PPM7?,A,G";1" FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF flsM FEE.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
.
TENANT NAME: (IMPROVEMEN75 ONLl)
INSTALLER:
ADDRESS:
CITY:
TELEPHONE #:
STATE: ZIP CODE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
r .,
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
--------------- - ------- - ------- - - - - - - -------------
NO. FIXTURES EACH
SHOWER 3•00
? iNATER CiL.OSE'li
BATH TUB 3.00
3.00
? LAVATORY 3•00
?S
KITCHEN SINK 3•00
? LAUNDRY TRAY 3.00 (??-
HOT TUB/SPA
WATER HEATER
FLOOR DRAIN 3•00
3.00
3.00
?
?
GAS PIPING OUTLET • minimum - 1 3.00 +
" ROUGH OPENINGS 1.50 •?- 5
WATER SOFTENER 5.00
PRIVATE DISP. • paLcry. iic.
U.G. SPRINKI.ER • home under const. 15.00
3.00
ALTERATIONS • io edsting
WATER TURN AROUND 15.00
15.00
STATE SURCHARGE .50
TOTAL:
SITE ADDRESS: I Il 1U
OWNER NAMEN?f'I Jl,r[U,l?? P?L.t MPXS
INST
ADDRESS:
CITY:
STATE:' ZIP
PHONE
1993 PLUMBING PERMIT (RESIDENTTAL)
CTfY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-0675
i - , %
1993 PLUMBING PERMTT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIALJINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING UNTT.
NEW CONSTRUCTION
ADD ON
REP.AIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: l% OF CONTRACT FEE.
STATE SURCIIARGE: $.50 FOR EACH $1,000 OF p!EP1V[FEE.
MINIMUM FEE: $ 25,00
CONTRACT PRICE X 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
$
$
$
TENANT NA-NIE; STF, #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
STATE:
ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AI.SO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIItED FOR EACH UNTT.
NEW CONSTRUCTION
? ADD-ON A/C
A"uD-C3N F'uicivrs?.?
FIREPLACE INSERT
DATE 7/?1,7y
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS (NtnvIIvlUM I @ $3.00 EACI-)
ADD-ON/REMODEL (ExIS'rIIVG CoNSTRUCTION)
STATE SURCHARGE
TOTAL
srrE
FEES
$ 24.00
6.00
$ 20.00
.50
o?D-?
?
OWNER NAME: TELEPHONE #: ?o$ ?' -' C??(oI?_
INSTALLER: Ron's Mechanical, Inc.
ADDRFSS• 1812 East Shakopee Avenue
CTTy. Shakopee STATE: MN ZIP CODE: 55379
TELEPHONE #: 445-9585
,/5, ? t
,
?
grGNATVRE F PERMITTEE
1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUII,DINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
--------- - --- - -------- - - ---- - - -- - --- - -------- - --- - ---- ---------
DATE: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF i???'??;;? ::.....,_.Y "?' FEE $
..... :;:;??<:; :.:?:?
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $19000 OF ?:ER;? FEE.
<?.>
TOTAL $
STTE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE #:
SIGNATURE OF PERMITI'EE CITY INSPECTOR
1994 MECHANICAL PERMIT (COMMERCLAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
WESTERGRE
• ,. ---- • , .
? C?rruft???ir jof
14:46 P.
i
?
? Lt7T 1 and; 2, BLO 31
CHES MAR EAST THIRD DITION
acaordiny to khe ?rooordbd Qlat heroof.
,
Dokota County, IAinneeot
? ,SC?LE ; 1 " ? 3
okp
prepared for:
FEA T U.RE
BV.L.LiDERS (?zw
PHONE 435-8443
'` s f \ ? '?.Q',??r? ?j.C. ??` 7Q ?O? ?
F'ROJEC'' ADDRESS: ??? ?
,
1104 e?n.d t106 ?26??
KIItKW04D DRIVE t?` ?• -0t ,
9 ?
$AGAN. MWNESOTA ?. ? aa, q ? t''•?,5'??2?? r?'`
p`p40'
LOT 3 ? 41) e
.t1?YO / a., ''°'$7,,,_ \ '? "''? '`tc'?.?''? , ! w' 60'
oD?" ? ? ???• . _ °"?j ? ? ?.
' ,' J ?????,??- ? ??R ; ? i ?
.L4T 2
?i
liOT .r
?
9?z.z ? ` ? ? & umffr'
fte mA r
? rd
_ dp56,? NOTE
? $0
Mr& AERvAMivs Ar . '? ?11 90
' ?
DlMJIVSIONS f'Rl4B 9Y7 nole6 Iron monu ent
CoNS'1'BUC970N x Denotee exlaHna e? .
(987.0) 'Deno}" propoeed I?E??`20
(?? g ,penokee off-set h b
2MINC9 D m ? Tvb of block el .
6131.54
? •
p) e Top of tin. garp e floor
---- GWp SURVEY'ORS ^^--- , qg2,00 e Top of bossmen floor elev.
8500 2tOTH b"MEET f4E5't USICEvIuE, MMSOtA 65044 . ?--? indicateh diroetton of urfaes dr6lrcqe
PHONE t(612) 368-16iA fox : 46e-11es0
! herrby cerfify thot thla Is o lrue ond corrocf roproen[`at?an of tmat of land
os ahoivn ond described hereon. As ored by me on th/s _4T" Cqy of Ma }98J.
tlald $oolt ?°'a
ro uar ? ? MInnO?ofo ?BQ/atrv on lVo. 1979O
!oa xo. lIR,86 r?dCf S1G,?13 tz??udXS 1b++ R MamNdm .
R-93% 612469t699 05-06-93'02:48PM P002 #15
,J RSSOC
TEL No.6124691899
-
of Ourveg
LOT 1 and'2, BLO 3,
CHES MAR EAST THIRD DDITION
aooordiny to ths ?rsoordsd plat thsrvof.
Qokota Counv, Minneeol
SCALE' : d 3 .
prepared for:
.F.E'.? TURE
fVIV
.B UI.LDE.RS
PFIONE 435-8443 ??-
?\?O?
PRQJECT ADURESS:
1104 end 1106 ?? J
KIRKWOOU DRIYE
EA4AN, MINNESOTA
/
LOT 3
ok ? ? ??y;. .
A
, J
.
L01" 2\
ws
6 /
?
? ..
_ ..,?
?
?
?
NOTE R
(WRL" B'tJ&'vArrolvs ?r
DIAfE1VSlONS PR108 TCft ?
CONSTRUCTIDN
lBBrfs#rrgrrri & As?"j%14W
---- LAND 5URVFYORS -----
8500 210iH STREET WEST LAKEi/ILLE, MINJESOTA 85044
PHONE 1 (612) 469-1E90 FaK S 4E9-1599
Denolss Iron moni
.s ? Denotse exletinq e
?,?Q87.0) 'Aeno}es proposed
INC?ii DEPT?, 0° Denotes oH-wt h
"'13'L?co - Tob of block el,
(q31,33) ° 7op of nn. pan
ggQ,oo m Top of bneemet
,04,------ Indlcateb dlrectlon of
f hern6y certify tboi this !s c tnre ond correct ropnpmbntatlon of
os ahown and dascribed Aereon.. As ored by me on thls 4r? dqy of ' &AV
r •j' ? .
T1a14 Baak C)?.j 17? {NNV 4 tsu
noam r ro wr I ?- Mlnnesota Reyistr
ioe xo. ?,Cl$?_ Sdd5/4*193 *W Ovv.YtS Don R. xb,e.lynn
. . .... . .... . ... _--- .? ,
May 6,93 14:46 P.
?
r
Id ? ?V 1 ??I
?? 1
93itr ~ `' r. e
_ .k.4?,J
. `'? ?'?i?;„?, ? i b•
. ??
2?
,?..., ,
LoT J!
? y
?,v er unu7r ?
Enn- PEn aAr ,
. ?
Ao 9! !Q
? 4 J ,
43r.1o
1`p D,y
,e
a0,
?
??.9o I
R!? tl' 4..7E6)
? floor
floar elev.
urface dralnoqe
trVct of land'
1903.
No. 18790
i
R-93% 6124691899 05-06-93 02:48PM P002 #15
WESTERGREN and RSSOC TEL No_6124691699
`?`.A
?±dti?'f'
? - • • w ? . 1. .
LOT 1 and'2, HLOC
CHES MAR EAST THIRD a
ocoording to the ,noorded plat
DakoM CoUnty, Minnesol
SCALE' : 1 " = 3L
prepared for:
? FEATURE . .
I BUIZDERS
I PHONE 435-8443
PRQJECT ADDRESS: i2
1104 and 1206 `4s
KIIiKW00D DRIVE
EAGAN, MINNESOTA
yo??
LDT 3
/
I oD???o ? m
. ?
??
4
r ?
r.C
•-sq4s 4 ,
?
;P ?
.
:
? f 3rJ ?
i
i ?
LoT 2 °
6'.l. 190
-
,
932i ? ?
?
s p,,?,41
NOTE P A
?'Er2lr?' ELc^' Y? fifOh'S & ?
DIMENSlONS PRTOR Tq?y
CONSTRUCTION
iUrsttrgrrn & AshAR614, ?n`?'I]
- - - - LAND SURVFYORS . -^--
8500 2101H STREEf WEST WC£VILLE, MIMESOTA 65D44
PHONE : (612) 468-7888 fCk : 460-1898
.
.
.
.
?
May 6,93 14:46 P.02
' - -?
Q .4r
; r 4°? i?
eA
?
A .
0,
?.
`r
LoT .r j ;
?
mwer e untm' ?
t?x??r P?a ptar
se
ro
91
? J
,,.
3,
°-0r
ON
T.?E `~
nubo
ky Dp,
`s
9.gz
50'
G A N
YI`tW ED
50' r.9? ?
Deno4se iron monu ent
.s x Denotse sxistinp e •
? 087.0) 'Denota propwed Isv: '
0° bOn°t°° °ff-°°t h b
ERING DEP ????
T?,'ZA? . Top of block el
(6ijj,S-*,) = Top of fin. qarp e floor •
c}gg ap m Top af basemen flonr etev, indicatea dlroctton of urface droinope
! harnby certify thot fhls ls o true and corrticf roprpasrttofion of
as shown and described haroon. As 7ared by me on this dqy of , MA
flela eook ??.1 ? Minnesofa Reglstn
7ob H0. . J2225 &rS°d S14014:'z tkW S'Pnr.re$ Aon R. Ni?leqp?a+
tract of land
f983.
No, 19790
C!tyofEaaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
1Ca�3
Permit #:
Permit Fee:
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
Name: ;Clc Come)/ /VrIUS Phone: (r0 / cJ ✓c) —60
Address/City/Zip: /1 Ott 4 )[O/ )<'jrkw ._
Applicant is: Owner Contractor
Description of work:
Construction Cost: t 3 020
Multi -Family Building: (YesfX / No )
Company: 0:5- GI/ l_b✓t34-1/,11. Contact:
&hi
Address: "f77 p
City: l�FiS
State: 04/0 Zip: S5- Phone: jp /Z. ?2Z `— 1#3
License #: )573/ I Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
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.00pherstateonecall.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 Minnes
days of pe it issuance.
Lshr J -
Applicant's Printed Name 1
x
Applicant's Signature
e Building Code must be completed within 180
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA133194
Date Issued:09/28/2015
Permit Category:ePermit
Site Address: 1104 Kirkwood Dr
Lot:1 Block: 03 Addition: Ches Mar East 3rd
PID:10-17152-03-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Candice M Reyes
1104 Kirkwood Dr
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
Tom Miklya
(33/q
From: Kendall, Todd <Todd.Kendall@andersencorp.com>
Sent: Monday, April 25, 2016 12:58 PM
To: Tom Miki a
Subject:
Mr. Miklya,
104 Kirkwood Dr.
Per our conversation, here is a breakdown of the work that was completed for Mrs. Reyes. I will personally be going out
to remove the screws from her siding, and close up any holes created by them.
The sill plate was discovered to be rotted, Mark Zinda (one of Renewal by Andersen's sub -contractors) Removed the
siding, and wet insulation. Replaced the sill, and put in new insulation and replaced the siding.
Let me know if you need anything else from me.
Thanks,
?odd zurdall
Permit Inspection Coordinator
Phone (651) 264-4088
Fax (651) 264-4079
Todd.Kendallna,Andersencorp.com
1
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA158720
Date Issued:10/28/2019
Permit Category:ePermit
Site Address: 1104 Kirkwood Dr
Lot:1 Block: 03 Addition: Ches Mar East 3rd
PID:10-17152-03-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Candice M Reyes
1104 Kirkwood Dr
Eagan MN 55123
(651) 330-0058
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature