1014 Kensington Tr Unit 104
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PERMIT
City of Eagan Permit Type: Plumbing
Permit Number: EA135434
Date Issued: 03/15/2016
of ER 1n Permit Category: ePermit
Site Address: 1014 Kensington Tr 104
Lot: 020 Block: 03 Addition: Kensington Place 1st
PID: 10-41600-03-020
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Water Heater&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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes(Minnesota State
Building Code).
Fee Summary: PL-Permit Fee(WS&/or WH) $59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
Total: $60.00
Contractor: - Applicant - Owner:
Genz Ryan Plumbing&Heating Debra L Olson
2200 West Highway 13 1014 Kensington Tr Unit 104
Burnsville MN 55337 Eagan MN 55123
(952)767-1000 (651)751-0988
1 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.
Applicant/Permitee:Signature Issued By:Signature
r For Office Use
• , Permit#: /573&?
E AG A IN
-77CEIVED Permit Fee:
A U G 1 5Date Received: ��/c3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 z0�9
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: _
buildinginspectionsecityofeadan.com J
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: B/i E i Site Address: 0(Li e S1-4co'1 7 L 1-( 01-\
Tenant: Suite#:
Resident/Owner
Name: 441My UPi t I Phone: 61Z-2°Z- 26
Address/City/Zip: /0Iy kflSi tjcioi rrL Er.47ki � '1ti .5.723
Name: v t I t-- License#:
Contractor Address: City:
State: Zip: Phone:
Contact: Email:
Type of Work New Replacement Repair Rebuild Modify Space Work in R.O.W.
Description of work: vu�? v�ij�/ W ,1-<?" vpp/t, /i.e3 iv ki#Ji.r1 Si K
Water Heater
Lawn Irrigation( RPZ/ PVB)
Water Softener
Description Add Plumbing Fixtures( Main/ Lower Level)
Septic System
Description:
New
Connection to City Water from Well
Abandonment
RESIDENTIAL FEES
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well*+ $290 for Meter and $190 for Radio Read = $540
*Sewer&Water Permit also required for connection charges
TOTAL FEES$
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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 o/1'lans.
1 kita
x annrnL ►11 x
Applicant's Printed fiame Appliccant's Sign ture
Page 1 of 7
C
row Moe tete I
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..tg• EAGAN
Perritt Fee: /c2q. /q g IAf
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044
3830 PILOT KNOB ROAD l EAGAN,MN 55122-1810
(651)6755675 11DD:(651)451-8535 FAX(851)6f 5-5 4 JU Mae V(1611�
2019 RESIDENTIAL BUIL& - - PLICATION
Data: site Address: Unit 0:
Name: 70 est A 7 i if l phone:G( z- 2-02 • 221
7
Ownir ° Address/City/zip: /o / t44.th s'',41#00\ 7e. /v if-
Applicant is: Owner CoIh r �---n S '/A.9 c ‘71--
Oeaatptior►of work: C (jai q�1 ii`' Y a [ t'(r.. lir r7 Le'
Typo at wok construction Cort: "11 / '1v' Muld-Family Building:(Yea /No )
Compeny:% e l'4( (JOE' S 2.-Elaff,eer 1rsVelf i vP3 '
Address: 'j 1" ( f:ec r ter�'v 1�+- • may; Va
State:owl zrp: c1-1 27 Phone:$311... t 5( s mail:, t tet C
itP a f +m+ 911,44"
LIcens.1: '1 ► Lead Certificate#: al_
If the project is exempt from lead certification,please explain why
Q O'-t Cor. Si-{ir v c 4,121
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
M the last 12 months,has the City of Eagan issued a permit bra similar plan based on a master plan?
Yea LNo if yea,data and address of matter plan: fir`it n a F yprsy c(cc— dlisd 4 s
Licensed Plumber: Phone:
Meohenioai Contractor: Phone:
eswarr i Waller Contractor: Phone:
Fire Suppression Contractor: Phone:
tODDIA ' �!!►., 41hre�r .�r�tf fa� �
:ate .
You
ebmays subscribe to moalr+r an electronfromar
electronic notification e City of proposed ordinances by signing up for an smell amide on are Clams
t SOMIIIIIIIIIIImaggeggdgg
Exterior work auarorbed by a building permit issued In e000rdanos MO the Minnesota Blob Building Code must be completed within 1110
days of game issuance.
CALL
intend WORE
YOU
lee Cal Gopher*eta One Cal a Oh?anag�'I protection against utility damage. Cal 48 hours before you
to dig to ioggiggsasu
I hereby aolanordeOgr that this inlonmlaer is cowipleee and accuses:diet its work all be in oontomrsnos with the ordirranoes and codes of the City al
Eagan:that I understand this is rot a pemrit.but any an rppltoetion fora permit, work is not to *Shout a permit;that the work veil be in
soon demos h the ap weed glen Ni the one of work which requiems a review and of piens.
x bAk' 'e1 14w41oo tk
Applicant%Printed Nims
Applicant's Signature
1
,. ,11-/ez7 /6659°
u
DO NOT WRITE BELOW THIS UNE / ILt `?
'
SUBTYPES
Foundation Fireplace Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ gaps _ Porch(41-8asson) _ Exterior Alteration(Multi)
Multi Deck — Porch( rgola) Miscellaneous
_ 01 of_Rex _ Lower Level Pool _ Accessory Building
WORK TYPES
_ New _ Interior Imp+owrnsrrt _ Sialine Demolish Mating'
Addition MoBdi —
Mows fervor Demolish~or
Mandan _ Fim Repair _ Windows _ Demolish Foundation
— fie _ Rapsir - E Window _ Wator Damage
Retaining Wall 1 aneation of entire building—give PCA handout to applicant
DESC,�ON
Valuation 1,00 J Occupancy JJIJ4 MCES System
Plan Review ( Cole Edition i 1 S'SAC Units
(2596 100%4) Zoning City Water
Census Cods 8ta1'ies Booster Pump
I/of Units Sgeare Foot PRY
l of Buildings Length Fire Suppression Required
Type of Construction ye5
Width
REQUIRED INSPECTIONS
Footings(New Building) Miter Size:
Footings(Deck) Final I C.C.Required
Footings(Addition) , Final 1 No C.O.Required
Foundation _,_Foundation Before Bacilli MVAC Service Test Gas Line Air Test Hood
Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final
XFraming 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In _Air Test Rnal Siding: Stucco Lath Stone Lath Brick EFTS
insulation Windows
Sheathing Retaining Wal: Footings Backfill Final
—
Sheetrodkk Radon Control
Fite Walls Fire Suppression: Rough In Final
—
Braced Walls Erosion Control
—
Shower Pan Other
—
Reviewed By: 17- ,Building Inspector
i •
RESIDENTIAL FEES �/
Base Fee j
Surcharge
(I 17 i' '��Ti ,�-
Pian Review
MCES SAC 14\1ft
L-
City SAC
Utility Connection Charge
8&W Permit&Surcharge
Treatment Plant
Radio Mehr Read
Copies K • o,r)e )
2(0 00
TOTAL ra
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