2056 Kings RdTenant:
City of Earn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: {651)675 -5694
Date: a JD I l / a
Site Address:
xP ,ACA Ects_Y AI A
Applicant's Printed Name
RECEIVED
FEB Z 4 2012
2012 MECHANICAL PERMIT APPLICATION
r ∎10 D CL
TC,LctrYe_r
Name:
Address / City / Zip:
Phone: t 1 -L ASD -
Name:
Address:
State:
Contact:
BURNSVILLE HEATING & A/C, INC.
3451 W. B urnsville Parkway
Suite 120
Zip Burnsville, MN 55337 Phone:
Email:
License #: -t ids O 1 I'�
City:
New A_ Replacement Additional _
Description of work: p l(tn Q e t ,� ,4A .S
Alteration
Demolition
RESIDENTIAL
Fumace
Air Conditioner
Air Exchanger
Heat Pump
y Other
New Construction
Install Piping
Gas
COMMERCIAL
Interior Improvement
Processed
Exterior HVAC Unit
Under / Above ground Tank ( Install / _ Remove)
RESIDENTIAL FEES:
$60.00 Minimum Add -on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
= $ LQu .ot TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation /removal (includes $5.00 State Surcharge)
$60.00 Minimum (includes State Surcharge)
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010 - $11,010 Permit Fee requires a $ 5.50 surcharge)
x
OR
CALL BEFORE YOU DIG. CaII 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.ciopherstateonecall.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.
a. kJ
Applicant's Signa ure
Date Received:
Staff:
Use BLUE or BLACK Ink
1
F :;: 7 Offi U
o //' II
Permit Fee: [.) - 0d
Suite #:
Contract Value $ x 1%
= $ Permit Fee
= $ Surcharge
_ $ TOTAL FEE
J
OR OFFICE
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # PERMIT DATE 10 /26/90
3830 Pilot Knob Rd. 11694
Eagan, MN 55122-1897 CHIP # PERMIT #
METER SIZE B.P. RECEIPT # G f�`s(Q0
DATE
OCT 26, 1990 ISSUE DATE B.P. RECEIPT DATE 10/26/90
X PRV — BOOSTER PUMP
SITE ADDRESS 2056 KINGS RD PERMIT REQUESTED
LOT 4 BLOCK 5 SEC /SUB VIENNA WOODS
X SEWER X WATER TAPS
APPLICANT: COMM /IND X RESIDENTIAL
ADDRESS:
CITY, STATE ZIP X NEW EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: ' J : s Ahead of Domestic Meters on Water Line.
ADDRESS: 14745 S ROBERT TR Credit WILL NOT b •i en for Deduct Meters.
CITY, STATE ROSEMOUNT, MN zip 55068
PHONE: 423-1144
AGREE TO COM Y WITH CITY OF
OWNER: EDWARD FASTNER & IRENE GETZ EAGAN ORDINAN ES
ADDRESS: 5209 46TH AVE S
CITY, STATE MINNEAPOLIS, MN ZIP 55417
PHON 778-5389 OR 724 - SIGNATURE WHEN METER ISSUED
PL
1 '' " � �W V RK I N A F O P ING. CALL 454 -5220 FOR INSPECTIONS. FOR STORM
SEWER PE' MITS, CONTACT ENGINEERING DEPT. ��
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122181
Date Issued:04/29/2014
Permit Category:ePermit
Site Address: 2056 Kings Rd
Lot:4 Block: 05 Addition: Vienna Woods
PID:10-81950-05-040
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 by law in ALL single family homes .
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 -
Irene R Fastner Tste
2054 Kings Rd
Eagan MN 55122--231
Property Claim Solutions LLC
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature