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3854 Kings Wood Ct- --- . ?' ? V::. _. r C/9-L`tiftCQ.te df OccupauC4 ?i#?j o? ?agaic This Certificate issued pursuant to the requirements of the Uniform Building Code ceKifying that at the time of issuance tieis structure wars in compliance with the various ardinances of the City negulating building corutraction or use. For the following: useCtassificWon: b'' lma 0-upa-Y TYm R34u I 7o1DB Disbia - Qww of Building _7$MYc, R['}W'RTS Building Address 3854 KEES LLY'l7 (C(Mr 3?-Buildiny 0mCia1 POST IN A CONSI ebg. Pe.mit rro. 26M Type Const. =VN ??: i,?9,'?? ? a. 7 4 CiTY 3830 Pi ? (612) 681-4675 SITE ADDRESS: PERMIT SUBTYPE: PERMIT TYPE: ? Permit Number: Date Issued: , .,., ., APPLICANT: . r, .1AM E? TYPE OF WORK: a „ N f 4J . • INSPECTION •• • D• ?:?i ,•II , i . , , l . . , ?. ' I A VtK.S r ip p V •5 % 4J F•tlaF I'Atll MlhtNI'101Ft iNf ,('''i;.,r3_.y0tti,ry ? 7 - ? Pertnlt No. Permit Holder Date Telephone !k ELECTRIC ?f' PLUM8ING HVAC LA- Inspection Date sp. Commenta FOOTINGS ! FOUND G?• FRAMING ?1.22 ? ROOFING PLOUMBING PLBG AIR TEST r ( ? l ROUGH HEATING GAS SVC TEST INSUL h ?u GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG GV FINAL HTG +E'r 421 44 ORSAT TEST .? LtJ% BIDG FWAL BSMT R.I. BSMT FINAL DECK FTG DECF( F1NAL Address 3854 xrrra *,xrm rramr Zip 5512 2 I.ot `18 Blk 2 Sub tcrnx?,s woon 2rro THESE 1TEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: ,??Q y'(p Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Pemianent driveway ? Permanent gas ? Sod/Seeded grass TraiUcurb damage Porch Basement finish Deck Please verify wi[h the builder the removal of roof test caps from the plumbing system and the shut-off of water supply [o the outside lawn faucet before freeze potential cxists. Contact engineering division at 681-4645 before working in righhof-way or installing underground sprinkler system. ? White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy o.soc A?y 0 - 5 5 Reque De[e Fre N. Roug -In In ec0o4 eQwrea (YOU W ca nspe or when reatly) Inspection Diher Than Ftough-In ? Reatly Now ill Notify Inspector Yes ? No Oate Fead I?4Censed contractor ? owner here6y request inspection of above electrical work aT Job Atldress (SheH, go[ or RoNe No ) Crty 3 d' 2ke?s C'? ?? - Section N. Township Neme or No Range No C ? 4 OccWant (PRINT) Phone No ?. Srupplier qOtlress ElecVical ConVadot (Company Name) ractors Lice se No o .?t Mai ing Atl (COnhac[or or Owner Making Installation) &'Iwaj -2- Z'I Authonzetl $i nature (COnlraciorlOwg Instellation) ner Makin Phone Number MINNE TA STATE BOPR OF ELECTRICRY THIS INSPECTION PEQUEST WILL NOT Griggs-Mitlway BIEg. - Roo 5.128 m (I II I I I ( ? I I I I I ( I II II 9E ACCEPTED 6V THE STATE BOAPD 1821 University Ave., St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS PM1nm 16121 fi!94I1M FNf.tPSFO 6 FtQUES"?OR ELECTRICAL INSPECTION ? See mstmc[ 'for mmplehng this lorm an back oi yellow copy Ee-o^oooi- ? "x" Belo. N%-'c Covered by This Request ?qy Ne Add Rep. Type of Building ?pprillces Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer Load Management Comm./Industrial Fumace Other (Specify) Farm Air Conditioner Olher(specity) Contracmr's Refia "'II/'E: tU1 j+D 0,5'4?? Campute Inspection Fee Below: '2-?^j6 ? S> !- # Other Fee # Sernce Entrance Size Fee !t Circmts/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps A 100 -Am s SIgnS Inspecrors Use Ony TOTAL Irrigation Booms Special Ins ection 0 Alartn/Communication THIS INSTALLATION MA1f BE ORC} DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18,hlONTH$: I, the Electrical Inspector, hereby certify that the ahove inspection has been made. I Rou9n-in e ° F?nai Z,? oa ' r' ga?e _p L OFFICE USE ONLV ? This request voitl 18 months Imm R"qG0 2006 RESIDENTIAL BUILDING PExMIT arrLicnTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtbn Reauirements 3 registered site surveys showing sq, iL of lot, sq, ft. of house; and gll roofed areas (20°h maximum lotcove2ge a0owed) t Soils Report 'rf proposed 6uAding is to be placed on disturbed soil 2 wpies of plan showing beam 8 window sizes; poured foufM design, etc. 1 set of Energy Calculations 3 capies oi Tree Preservation Plen'rf loi pWried after 711193 Rim Joist Defail OpGons selection sheet (bulldings with 3 or less units) Minna7asco mechaninl ventilatlon fortn RemodeVReoair Reouirements 2 copies of plan shrnring foolings, beams, joists 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Addfion • irMicate ifonsde sepfk system 2"3600 $e an Ceit oESvtveYliectii?`?'?,i zk?YN 50115 Tr0eP?2i;Pldfr,?2`c??.<.'...;,.y:Y; Tiee?Pies'd,tequq6d,?t: Date q / 2 g Site Address ! ?? ? g 5 q `/ Construction Cost 2 0? UniUSte ii Descriptian of Work 1 C cv D?? t 1 2(' d P T Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner m k I"ka vy rL? bi-7' Telephone #( ) ConYractor ???2•'i?"d qGC(,?b? ?O?;f?G? ??d/7 Address S(f, 41 State /-/) /? 7 i7v. /V Zip ` City S???C?JA?-Gv Telephone # ((P57) 513c-- COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv I • Residenfial Ventilation Category 1 Worksheet (J submission type) SuhmiNed • Energy Envelope Calculations Su6miried A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted In }he lasi 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, daie and address of master plan: Licensed Plumber Mechanical Contractor Sewer/water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pemut, 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 ofplans. ' I?A Q,q G? D'i ( 2 r,I yJ,?k ApplicanYs rinted Nazne ApplicanY ? Signature <30s's 7 2007 RESIDENTIAL BUILDING rExviiT nrri.icaTloN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Tetephone # 651-675-5675 FAX # 651-675-5694 NewConsWCtion Reuuiremenis 3 registered site surveys shoxing sq. $. of lot, sq R. of house; and aN roofed areas (200/o maximum lot coveroge albwed) 1 Shcs Report 'rf proposed building is !o be placed on disNr6ed soil 2 copies of plan showing 6eam & window sizes; paured found design, etc. 1 set of Energy Cakulations 3 copies of Tree Preservation Plan if lot platled aRer 711193 Rim Jdst Detail Opfians selection sheel (6uilchngs wBh 3 w less uniLs) Minnegasco medianical ventllafion form ?, vZJ RemodeVReoair Reawrement4 Offce Use Onlv 2 copies of plan showing footings, beams, joists Ced of Survey Recd _ Y_ N 1 sM of Enerqy Calculafions for heated addi0ons Soils RepoR , Y_ N 1 site survey for addifions & decks Tree Pres Plan Recd _ Y_ N. Addihon-intlicateifoo-sitesepNcsystem TreePresRequited _Y _N On-siteSeptlcSystem =Y _N Plans are considerPd ouhlic information unless vou state thev are trade secret and the reason. Date /07 ConstructionCost ?4;iom Site Address CJ ? CJ7 /l //V A5 L7lOC? " 1 UniUSte # Description of Work ( )'C(rCT)F Multi-Family Bldg _ Y-ZN Fireplace(s) _ 0 2 Property Owner Fb QL??`?f Telephone #( ) Contractor G ' ? .S ? ? ?/?? ` ? / ??? ??/ Gt, Address 1o?3/f? `P?ll//7/ City State j9?-f '? Zip 57S_3 Telephone#((P1A ) 5.3?/" ??33 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minneso[a Rules 7670 Categorv 1 _ Minnesota Rules 7672 Energy Code Category . Residenfial Ventilalion Category 1 Worksheet • New Energy Code Worksheet (d submission type) Submitled Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit For a similar plan based on a master plan? _ Y _ N If yes, date and address of masTer plan: Licensed Plumber Mechanical Contractor Sewer/Water ConTractor I hereby Telephone #( Telephone # ( Telephone # ( Building Permit and acknowledge that the information is complete and accurai e; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State oi MN Statutes; 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 approv4P'an e case of work hich requires a review and approval plans. Applicant's Printed Name Applicant's Sig re DO NOT WRITE BELOW THIS LINE Su6 Tvpes ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? OS 03-plex ? 06 04-plex Work Nqes ? 31 New ? 32 Addition ? 33 A@eration ? 34 Replacement ? 13 16-plex ? 16 Fireplace ? 17 Garage ? 18 Deck ? 79 Lower Level ? 20 Pool ? 30 Accessary Bidg O 21 Porch (3-sea.) ? 31 6ct. Alt - Multi ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt-SF ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 24 Storm Damage ? 25 Miscellaneous ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building` ? 43 Reroof ? 46 Wndows/Doors *Demalkion (Entire Bldg) - Give PCA handout to applicant DBSCI'IpflOfl: Water Damage _ Yes Valuation Plan Review Census Code SAC Units # of Units # of Bldgs Type of Const Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC Ciry SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 07 05-plex ? 08 06-plex ? 09 07-plex ? 10 08-plex ? 11 10-plex ? 12 12-plex 100% or 25% REQUII2ED INSPECTIONS _ Sheetrock _ FinaVC.O. _ Final/No C.O. HVAC O1her _ Pool Ftgs AidGas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Srick _ Windows _ Retaining Wall Building inspector INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number Eagan, Minnesota 55122-1897 Date Issued (612) 681-4675 SITEADDRESS: P.I.".: 1e-42ee1-16e-e2 APPLICANT: LOT: 16 BLpCK: 2 3854 KSNGS WOOD G7 ROBER7S JAMES KSNG5 WQ00 2ND (612) 681-0258 PERMIT SUBTYPE: 5F DWG TYPE OF WORK: NEW susLozree 02689$ 12/26/95 INSPECTiON FOOTINGS D. . FOUNDATION D• FRAMIN6 RQOFTNG INSULA7ION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FTNAL PLBG FINAI CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55722-1897 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Number: Date Issued: 3854 KTNGS LOT: 1$ BIOCK: KINGS WDOD 2ND P.I.N.: 10-42001-180-02 DESCRIPTION: ?. ? 13?i.ii ld-I n1?,.Permit Type f- Su,ild,ing-?"k Type s'11$C Ocdlrpakfc36?a ? Cans?riucti.o? T?`?phe Zoning Bui3din,g° Le?ngCM BLfidih,g Width : taeY'1. 8s 8F E L'?.." Ce`nsias a,.Code ? ORo5iasa- BUILDIN6 026898 12/26/95 r _ [ ? U ?t ? 4w YB' ? ? Lti2 -J ?I3. 33 y??iU ?0M1 1£ 0 ? HL'?„y! ? Q?.;.' REMARKS: pRV FEE SUMMARY: S& W PLBR - MID-MINNESOTA INC (323-9086) Base Fee Plan Revi.ew 8urcharge SAC SAC % SAC Units Subtotal WOOD CT 2 SF OWG NEW R-3 U-1 V-N R-1 7e 69 1 3,075 0101 1 - FAM. OETACH $2,619.79 CONTRACTOR: L _ OWNER: - Applicant - ROBERTS JAMES 3248 ALDEN POND LN EAGAN MN 55122 (612)681-0258 r . _ _ `- Z heretry sckn_bwledgd that I' haVe`i^ea(ttMi-s a#>pl'l?eatioft state th.#t t,hs ?,- in,fermation fs corr-ect and agr?e` to comPiyw???h -bX?. app?i?i.eair.?? ?$?a?e-??f ?kn:` r s Statut$s and Gity of.Eag,ah Oriiihanass: _ : _ _ .: . . . ? ?. ., _ ? ...? 17C??s' ,?`??ttP, .?,?I`IYI?,?- APPL ANT/PEfiMITEE SIGNATURE I SUE e. GNA RE VALl1ATI0N $172,090 $1,247.25 MISCELLANEOU5 $1,892.56 $436.54 Total Fee $4,512.29 $86.00 $850.00 100 1 CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122 ? 4 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL ) 681-46T5 ? 3 iepiaterod sita surveys ? 2 copies a plan ? 2 copiea ot plans (indude beam & window saes; ppured {rM. design; etc.) ? 2 sfte surveys (exterfor eddhions & decks) • 1 enerpy ealeulations ? 1 exrgy ralwlations tor heated eddttions ? 3 copies M hee prnservationn if bt pleRed after 7/1193 required: _ Yes No _AL DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: NC-t-4-i l nO co (Z-- STREET ADDRESS: fCi/UGS,(A/aU7 ?. !• LOT ? BLOCK ? SUBD./P.I.D. #: K) '4'S3 &VdGI a N' 4 ,oD PROPERTY Name: KQ? C-T?l? /h CS Phone #: ? OWNER -, 3d'1 ft eN &EVT ?,pl. Street Address•3 gsy l(fiNSS GtJOUJ C7-• City: State: ? Zip:?a cL_ CONTRACTOR Company: JQ ???Tf Phone : Street Address: -License #• ? r City: 1--Akq/,--kN State: Zip• -?? ARCHITECTI Company: Phone #• 22d ENGINEER Name: Registration #• Street Address- City: /?'t?Z State: OV') Zip: 9 o W)enalty Sewer & water licensed plumber. rn ?n - evv ? cxdT Pt zN C • c appiies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that t?7n rtnation is Corred and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. i Signature of Applicant OFFICE USE ONLY Certificates of Survey Received 2Yes No 566? $ 4 JI o Tree Preservation Plan Received Yes ? No OFFICE USE ONLY , w BUILDING PERMIT TYPE " 0 01 ' Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish 02 ,A SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21 Miscellaneous 0 05 SF Misc. 0 10 = plex o 15 Deck WORK TYPE ,n-'31 New o 33 Alterations o 36 Move 0 32 Addition o 34 Repair o 37 Demolifion GENERAL INFORMATION Const. (Actual) ? v Basement sq. ft. Z,0&3 MCMlS System c?- (Allowable) Sy-N Main level sq. ft. 2 o City Water UBC Occupancy -3 c?-i sq. ft. Fire Sprinklered Zoning sq. ft. PRV ?s # of Stories ? sq. ft. Booster Pump Length L sq. ft. Census Code. C° / Depth Footprint sq. ft. 4,0 75 SAC Code o i 0Census Bldg ? Census Unit ? ? / APPROVALS r 0 Planning Building Engineering Variance PermitFee . Valuation: $ Suroharge Plan Review License -?- MC/WS SAC 5-7 City SAC 960 Water Conn. _ ? yy? Water Meter ?yx (o? Acct. Deposit , 7 Z- S/W Permit Z Y S!W Surcharge ? K !t; -T3 =I L5? Treatment PI. Road Unit z? o03 xs/= Park Ded. Treils Ded. Other / Copies Total: _?- -- -----__ °k SAC SAC Units J s?'P f. /'r ' -Z , ° b 3V7 /lN. ? 3X9 ? Z7 ??. ZfX ?° ? /i / ? f5 zvzx/r.17? Y6 . 7 _ 7 ?? Z?lS x ZS"= lR? 3& x Z y=;?/z x16 j /y, s-9z U-? CERTIFICATE OF SURVEY R 18-17- 9 5 for JIM ROBERTS 7 ,m ? ' Soa. SeoJ, , . '? ? ,? aI / GP¢, 0 10 f ? a I Y v s-?.?¢1 s•oo., gb 24? ,`?? 4'.? `?M ? ? ?O•Ji f B? ? 8S6'?f I i?10 . " -? -? I 'v o'n C, M r: Q J C J O ?In /^ ?1 ??? ??JJ O 1W O y °' .'`¢6` i8 es 1o? ezn - ? 860. 9 3 ??60. 2 j ?62_6 5? 1z / - 93.96 / a N 87'31'S4" E ry 8 \ w \ 3.? \ ?587 g \M? cn 3 3i `??^? -,-, 8lSaCil'iS6uV 1CIbV G D•-•?r J1. p. ll LL o V e kd ti ?`k?? L:J ?} ?fp•? r.,? ?.r' Scaie: 1" = 30' 3854 King's Wood Ct. DESCRIPTION I hereby certify that this survey, plon, or report was prepared 6y me or under my direct supervision ond that I am a duly Registered Land Surveyor under the Laws of th?e State of Minnesota. DateU (S DEC ) 99S Reg. No. 8140 Lot 18, Block 2, KINGS WOOD 2ND ADDITION Dakota County, Minnesota Plat bearings shown o Denotes iron manument ? Existing? Proposed BR??NDT ENGINEERING & SllRVEYING 1600 West 143rd Street, Burnsville, MN 55306 (612) 435-1966 .Aw QZ 4 O 00 'D ? ? / ,?'•?.??.??'" ? ? ! . 4 a m ? car slab 0?4366.6 ? Blk _ - ? .? u? n•° ?-- - -?N .?° Suite 206 ? / ?p W\ (3? w N? Y ? ? S. ?• ? v ? ? 0 eQ \ I R18-17-J5 f? :3?!A?l ' ;_ ?.? .3 t •? °,? ?a ._?.?r.??..,.,. ?,._?a....... __..... _, _._. ? ., LOT SURVEY CHECiCL1ST FOR RESIDENTIAL ? W o W BUI ING PERMIT AP UCATION ? N y PROPERTY LEGAL: W u K a u W DATE OF SUR EY: a m IATEST REVISION: t Y i ? O • OOCUMENT STANDARDS Registered Land Surveyor stgnalure and company ? W-' ? 0 0 • • 8uilding PermitApplicant Legaldesc?iplton ?p ? • Address m? o O • North arrow and scale M-' o o • Nouse lype (rambler, walkout, spltt w/o, split entry, lookout, etc.) e?p ? • Dfrectlonal drainaQa artowa with slopalpradteat 96 O? o o • proposed/epstlnp sewer araf water services 8 inveR elevatlon ? ? • . Streat name ? O • ' Driveway ELEVATIONS a7' o a • Exsdna Sewer service 0--'0 a • PropeAy comais ? CJ/ ? • Top of curb at the driveway ??0 0 • Elavatlons of any excstlnp adJacent homes Proposed • Garaga floor • Fistfloor ? o • lawest expased elevation (walkautaindow) o • Property comers o ? • Front and reer of home at the foundatlon PONDING AREA (t/aonlicablel O Sr/ O • Easement line o cG3? p e NWL • O L9? 0 • HWL ? • Pond # desipnatlen ? 0 • Emergency Overtlow Elevatlon ' o o pIMENSIONS [9 • Lot Unest6eadnqs 3 dtmanstons e? o o • Right-of-way and svaet width (to baek of curh) ?a o . Proposed homo dimeneions Includinp any proposad daeks, overhanpa preatar ihan 2, / parches, etc, p.e. all structuros requiriny pertnanent tootinps) ? C3 • Show all easemanls of record artd any Ciry uutAfas within thosa easemenls o 0- • Setbacks of proposad structure and sideyard setback of adJacent eidstlng sWctures O B? o • Retaining wall requtremenis any Reviewed: me !Da July i8B6 ' . . . • ' -vt ? .. 11? z?E'F??Jaf1?N Y. _ ._,. y. • ? { n ` RasT \ e,,'6^ w-871.6 ' P•. A ? 2 M 12'F40 90 ?A r W-86F?:8 -- - : ? 12 +45 ?, 7 Ip' - 56.1 W-866.0 1$ ' - ? 6N 6° T E E i L S65 rsn_7 MnDOt 6?? G.V. & BOX -? 6'-I/16 25, 30 ' iNSTALL C1SP SER CE 1 o_ ? , Y' ? y, .. ,sg• -h? CLEANOUT AT PR LI NE (PLATE 34 A) 1 15 -?-- \ FOR LOTS 17 18. W?71.4 ? PONDING f -YZ + 0 ll?b S-861.7 %W-8650 ? .?8?52 19 ?_ PLUG SoNS je i °cF{y,p 86 .64} AREa .- ??. . "tr+ 0 SEED & MULCH DISTURBED MI ? yy-6651 AREA WITHIN I WEEK AFTER ,7 w,•° oM.tL7Pf$s? (V 5-85,5.2, INSTA LATION. INSTALL EROS N ? ` ?j ?'°""°at' 9?K• ?! ??$?.? CONT 0L AS DIRECTED. 4n 1 SA,o? MN-I STRUC ?JR?MARK€fl .- _? -?- ?t EXISTING AB SAN. SEWER 17;FC W- 8R0.: S- 860.E ,, . 20 qNECT TO EX. MH 8 I EPERM. ASEMENIT'TM INTER iTALL STRUCTURE MARKER I NOTE: SERVICES: / 4" PVC SDR 26 ?? NOTF; AOjUST SERVICE LOCATIONS ICOPPER PLACE CURB BOX ON PROPERTY TO Av01D LARGE TREES. LINE 8 ExTEND SERVICES 15' INTO LOT UNLESS OTHERWISE NOTED. t9 O v?i +I in PV1=1t75 PV1=0+50 ELEV.= 865.30 ELEV.=872.80 VC=50' VC =50' M=0.31 M =0 +25 ^rR ?,i 3.J;} r,:--ei .`li'•-• k '?q••-•,?t?'1,... ? "y? Cdr Ui?is_'i ?' i.rAi,o {I0 • tt?.. ?. ? Tl.?_t51 ?.[???1'.. a P V i? I '? ll O'S?L'.G 0•.7i?? ,: :=' . . .. . _, ... • k??;,_ ? ..? `J:_lNG IT SFI01J1J.) MIi=2 ?' tw F ? ? e? ?.? O?d Th? :?i i?E. .ese,e.;. r 24? THICK o------'- ?I' 858.6a 27" RCP NOTE: All water main shi 7 toot mYdmum co OVERDEPTH INCI ?R 8 RISER ? (?oT 17) (LOT ie) 168'- 8" PVC ? i ?'- 8" SOR26 PVC (c0.? % L79 - 8" PVC ?q 0.50% ? 30'-8DIP 6) 0.50°/a WITH 17 OUTSIDE DROP 10 ?I ;izz. f? rf + ?m I I 12 Q $ + 13 z 90,' 80 69- 8 PVC?q 3.64°/, \-20'- 8" DIP a3.f #% WITH 7' QUTSIDE DROP ? O N l} OD Co MH-3 873.15-F- -2.00% 8 ti N ? ? t ? 14 15 P02 A&IIJ J9LC. O 14750 Galaxie Ave. Suite 104 Apple Valley, Minnesota 55124 (612) 432-2044 EXTF,RIOR ENVEI.OPF, AVERAGE "U" COMPtFPATION NA]ME 01c5sc•'2__t:Ab PL,AN' NUM3EF? 1?--1 q S_7N 'V, Determine workiry; square footage of each 1. Total exposed wall area....... ?? C: 6 '. sq.ft. Y. .11 3 3?.2Ll 2. Tota1 rroof/ceilinp; area...... ZCSS _5 sq.ft. X. .626 S4/,? Total exposed wall area. above 1'loor = Z'? 74 a. Total wall wirxiow area .................. 3 b. Total door area ......................... c. Total sliding glass door area...........? d. Total fireolace wall area_............... e. Tptal wall framirg area (averaE^e 10%)... 2 1? -7. '-k P. Total net wall area above floor.......... 2? g. Total rim ,joist area ................... Z l O Total exoosed foundation area = 1 C_? ' h. Total foundation window area............ i. Total net foundation area above grade.../C: ? Deteimine "U" value of each vrall sepment a. X flUff .52 = I7LJ, 7Z b. X "U" .139 = v c . i ?: "U" .52 = I. d. X "lJ" .68 = - e• . X nrJn ,096 f. X nUir .044 = Z? g? R nIIti , 041 = ? lf I , h. X "iJ" .52 = '- " i. x °trll .082 = 4f G I 3. Tarnr .. . . . . . . . . . . . . . . . . . . . . . . . . . . . '3e.12 t S l If itan N3 is the sarr.e as, or less than iten #1, you have met the intent of SEC 6006 (c) 2. -1- P03 Total exposed roof/ceilirLe area = C: 4d ?'--> Total p;ross nocf/ceiliry, area = J. Total slylight area ................... - k. Tota1 roof/ceilir,g framing area....... ,ZU?s 1. Total net insuZateB roof/ceiling 3rea. I'6 -7'1,-7 Determine "IJ" value for each r+oof/ceilirg, sePlnent T , X "LT" _ k. Y. "LT" .024 1. X "U" .022 1,2' 4. Tar,at.,... ....:................... ?f4,23 If total of p4 is the sarne as, or less than N2. you 1'ave met the intent of SBC C006 (c) 1. '"o utilizeithe total envelone systen meY.k:od, the values established by the siun af itens #3 and 114 sha11 not be greater than the sum of itgns #1 anc.' N2. 1. q , 2L + 2. 5 5`6 = ---5.39,? 6-% s. 3J?2?57 + u. .?gc P-laterials Theimal resistance "R" Fxterior air......... Std3tg material...... Sheathin(?............ Insulation........... Sheetrock............ Interior air......... Studs ................ Rim .................. ., . I Concrete blocks...... _2r L / O BL ? SUBD. v60 c? '? CITY USE ONLY 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 RECEIPT #: -53300 DATE:62 -vZ 2 -14' ' Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EAStH NQ TOTAL Shower 3.00 x . F" D Water Cioset 3.00 x o2 = G. ?7D Bath Tub 3.00 x = Lavatory 3.00 x Kitchen Sink 3.00 :c Laundry Tray 3.00 :c A00 Hot Tub/Spa 3.00 :< _ Water Heater 3.00 x ?- _ .g. I)(1 Floor Drain 3.00 x = Gas Piping Outlet ' minimum - 1 3.00 x Rough Openings 1.50 :c = Water Softener 5.00 x Private Disposal ' nakota cry. iicense 65.00 = (new and refurbished systems) U.G. Sprinkler ' home under const. 3.00 = Alterations ' to exisnng 20.00 Water Tum Around 20.00 5TATE SURCHARGE .50 TOTAL d?i ..3D SITE ADDRESS: 3 ??? l???lS1,f_IOG??J,?? ` OWNER NAME: ??3 K?'Be?-TS INSTALLER NAME: STREET ADDRESS: cinr: STAT • N ?3/ 7 PHONE #: -7 ' 0 ?-O Y ? ? _ OFFICE USE ONLY L BL RECEIPT #: SUBD. DATE: 1996 PLUMBING PERMIT (CQMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. . all commercialfindustrial buildings. w multi-family buildings when separate permits are aqt required for each dwelling unit. DATE: WORK TYPE: NEW CONSTRUCTION DESCRIPTION OF WORK: CONTRACT PRICE: ADD ON _ REPAIR IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETER:i TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINYCLER PERMIT. FEE: $25.00 minimum fee or 1% of conhact price, whichever is greater. State surcharge of $.50 per $1,000 of ermit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: ADDRESS: cirr: PHONE #: STE. # SIGNATURE: OFFICE USE ONLY METER SIZE: DATE: STATE: ZIP: APPLICANT _ INSPECTOR: L BL SUBD. -.,- CITY USE ONLY RECEIPT #: DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) • CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please complete for: ? all commerciaUndustrial buildings. P multi-family buildings when separate permits are M required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIF710N 'JF WORK: FEES: ?$25.00 minlmum fee QC 1% of contract price, whichever is greater. p Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of y.ennji fee due on all permits. C;ONTRAC:T PRICE x 1% PRACE55ED PIPING _ STHTE SURCHARGIE TOYAL t 91" E ADDIZESS:. JWNER NAME: TELEPHONE #: , TENANT NAME: (IMPROVEMENTS ONLI) INSTALLER: ADDRESS: crnr: - PHONE #: STATE: ZIP: Gzsl SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR CITY USE ONLY L? BL ? D RECEIPT #: ri25??f SUBD. 4f1d ? DATE• 7`J`J6 MtGI'1AIVIGAL YtKMI l(Kt,IUtN I IAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit X New construction Add-on fisimace Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc. Date: q - `--q (o FEES . . Minimum Fep: Add-oNRemodel (existing residence only) $ 2(J.00 M,'ar.; 0-100 M BTU Additional 50 M DTU Gas Outlets (minimum of 1 required @ $3.00 each) State Surcharge ToraL SITE ADDRESS• 39 Sq k i P, ?4 S OWNER ? ry\ ' 1 tool Cts .50 .?`Te7O PHONE #: INSTALLER NAME'? STREET ADDRESS• PC) Q6x3&?D CITY: STATE:, ZIP: SS? 3 PHONE #: (6 tZ ) Lt3 g-aQ 3 7J CI.AiM VOUCHER - REFUNO REQUEST CITY OF EAGAN MAKE CHECK PAYABLE TO : A-HANDY PLBG ADORESS : 1332 BAYARD AVENUE ST PAUL MN 55116 LOCATION FiECEiPT # / DATE REASON FOR REFUND TYPE OF REFUND 3854 KINGSWOOD CT LIB. B2. KINGS WOOD 2ND 53133/02-20-q6 PLUMBER HAS NOT MET LICENSING REQUIkEMENTS - REFUND PER DOUG REID/BILL ADAMS EIECTRICAL PERMIT PLUMBING PEAMIT MECHANtCAL PERMR SURCHARGE 3211-9001 $ 3212-9001 $ 53.00 3213-9001 $ 2155-9001 $ WATER CQNNECTION PEAMIT SEWER CONNECTION PERMfT ACCOUNT DEPOSIT UTILITY,ACCT OVER-PAYMENT . CURB BOX DEPOSIT REFUND CONSTRUCTION METER DEP REFUNO WATEA USAGE CHARGE OTHER: 3713-9220 $ 3743-9220 $ 2252-9220 $ 2250-9220 $ 2253-9220 $ z2sa-s22o a 3711-9220 $ S a TOTAL a 53.00 _ I declare under the penalties of law that this account, claim or demand is just and that no part of it has been paid. FEBRIIARY 23, 1996 Sign Wr a_a? Date _ - CITY U3E ONLY L BL RECEIPT SUBD. DATE: 0 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN ' 3830 PILOT KNOB RD EAGAN, MN 55722 (672) 681-4675 Please complete for: ? single family dwellings ? townhomes ahd co5Oos whc;n permits are required for each unit FIXTURES EACH Shower 3.00 x Water oset ?3.00 x Bath T b ?1 \ 3.00 x L8V8t \ 3.00 x Kitche Sinlt- /I 3.00 x Laund?y Tray U 3.00 ;< Hot Tub/Sp 3.00 ;c Water Heater 3.00 ;< Floor Drain 3.00 ;< Gas Piping Outlet ` minimum - 1 ;c Rough Openings . 0 :< Water Softener 5.0 x Private Disposal ' Dakota Cty. license 6 0 (new and refurbished systems U.G. Spflnkler ` home under const. .00 ti Atterations " to ex+snng 0.? Water Tum Around 20. a? STATE SURCHARGE TOTAL SITEADDRESS: S!;;?•) y ty-- / OWNER tVA INSTALLER STREET AC cirir: PHONE #: ( n ? uJrx? ?% , ? I = 1 = TOTAL GC'V o7 iS,oo ; o0 3 0? 3 °O .? vv /°.c? S00 .50 '"Zo L BL SUBD. OFFICE USE ONLY , RECEIPT #: DATE: 1996 PLUMBING PERMIT (CAMMERCIAL) CITY OF EAGAM 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Piease complete for: w ali commerciaVindustrial buildings. ? mul6-family buildings when separate permits are Il4S required for each dwelling unit DATE: CONTRACT PRICE: WORK IYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED7 _ YES _ NO. IF SO, PLEASE PROVIOE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETER:i TO BE INSTALLED7 _ YES _ ND. FAILURE TO PROVIDE THIS INFORMATION WILL RESULI' IN A DELAY OF ME7ER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINY(LER PERMIT. FEE: $25.00 minimum fee ar 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of pefmit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAI S1TE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: - ADDRESS: CITY: PHONE #: STE. # SIGNATURE: OFFICE USE ONLY METER SIZE: 11 DATE: STATE: 21P: APPLICANT _ INSPECTOR: OFFICE OF i/1E PEAISIRM Oi TIttEB• WKDTA COLSTY. Idthl. CERfIF1ED TW 7HE WIiMN rasrax*r+t va.g Fa.Fn w nHIs OFFILE ON M!0 I7 L, ooc «O CERrFr-.Pn NQ 4VME9 N OOLN! ? RE[IISfMR OF TIRE9 im -P . A ? FEE 1 CASH T cHcat owIoe ?? FWFLVM ` 3s63 - ?L(?0/ i SNfCOO?J OAe's ?!-o 907011 OFFICE OF THE COUN7Y HECOflDEiF-OANOTA CWNTV, Mtl. cennfleo nuT nE Nnn+u+ INSTRVMENT WAS FILED FON RECORO M TNIS OFFICE ON AND AT o« 4 z 3o PM '0 DOG NO 90'7011 .uwES H. counn r?coaoen pEpUTV?.FEE 14ZCO LASH 0 d1Ept )( CNAf1GE CI CMARGE M/FbM REFUND DD NOT PEhqYE 06 6 a- ? ? ? -- --??-- . a ?. . QAJ ? u ?? ? ? i.c. ? r13 r9 3 ???3r 8?l ??I?Y ?.a i9.? !93 ?v??r, 19 3 849F '. 193 ?a3y? &(iI)F I( i9 3 voo;) 3?? 849(--) 1 S.3 ?a37?' yv;c , I S 3 ,??38f ?Y9E:•, 1`} 3 ?. ? 3b? ?Yi( c . 193??3`?? ?S`f`?? i ?93 ??yo? ?s`l ?L) ; ??`I I? `? b'Ll 193 ?"d`Ja? sY ?". , 2?Ad97 9f1'7011 . LIIIGB MOOD 28D ADDISIOM Pi6BSORE AEDOCIBG YALV6 AGRBEIIBN? TH ACNEElIENTr IDede and anteced Snto the ?. ?ODY O= , 1989, Cy and betNeen the CITY OP EAGAN, a Munici lity of the Seate of Ninnesota, (becelneftec callea the CITY, nnd tt?e Owner and the Developer ideniifieo hecein. The tecros •Developer• and "Owner' as uaed herein cefer to HOBdE DEVELOPMENT CORPOAATION xhone nddilee Se 3850 Coconntion Road, Eagan, Minnesota 55123. R6EPEAS, the Developec has applSed to the City fot appcw al of the plat OL SubdSV1810n knwn A8 RINGS ROOD 2ND ADDITION, lOCated xitlln the Cityt and NeEAEAS, the ownsc and Developec egree to notify the pcopoeea po[ential buyere of a.l lota xithin RINGS WOOD 2ND ADDITION that Lote 37, 28, 29 and 30, Block 1 and Lote 14# 15r 16, 17r 18, 19r 20, 21, 22, 23, nnd 24, Block 2 are Sn a hSgh wate= pressuce zone ano a pceasure reduciag velve shall 6e insialled in each hame below the elevntion of 875 feet. All coete shnll be the responsibillty of the O++net end Daveloper end aAall Lx inetalled to pcevent aamage aue to high water pceesuce. NON# 1EEREFOREp the CSty# Ownei and Developec a9cee na follows: 1, grrocdino. This eqceemant shall be recorced xith the Dakota County Reco[dec so ae Yo pcovide noiice to the wnars oE Lote 27, 28, 24, itld 30, B10Ck 1 6nc LOts 14, 15, 16, 17r 18, 19, 20r 21, 22, 23r and 24, Block 2, RINCS XOOD PND ADDITION. The wnei shall pcw Sae ano execute any and all doeuoenta necassacy io lmplement the cecoraing oc tAie agceement. y, ao i e. She reeocdinq of this document chall constitute notlce to all a+neca and futu=e wners ot pcoperty in the RINGS wCOD ZND ADDITIOB that Lots 27, 78, 29, an6 30, Hloek 1 and Lots 14, 15, 16, 17, 18, 19r 20, 21, 42, 23, and 24, B1oCk 2 ace ln a dlgd vete[ pceesu[e tons aad t6st a p[easuce teducing valve ahall Oe Snstellea Sn each home belox the elevaiioa of 875 faet. All coete sNall ba the ? ? ? . ceeponeibility oL the Huyer and ehnll bc inseelled to pcevent damage due to high rntec p[easure. g, vli lev, if eny poction# section, subsection, santence, clauee, pecagcaph oc pr=ase of this agreament Se Lor any teaeon held to ba invalid, eucA deciaion shell not nffect the valiaiey of the remninin9 pactSon oi thia Contract. 4, Btndina aereemene, TAa partiea mutually [ecognize ana aqree tAai all tecme and conditione of iAla cecocdable agceement shall [un wieh the land herein deeeribed and eAall be binaing upon the heice, succeeeors, ndminisiretoce and aeeigna of the arnecs ena develogecs ceferenced in thla Contcaai. IN NITtiESS WNEREOP, we have hereunto eet ouc hande. CITY OF AGAN WNER AND DEVELOPER (DLtOS ) HORNE DEVELOPNFNT CDRPORATION BYt By: Ite Mayo= I = Atteeis - Ite C [k ----^'= ? STATE OP flINI1E50TA) .?'7????? ) Ss, COUNTY OP ??ZI?) On tdia? N day oL rk rr- r 1989, bsLoie me a Notery Public rltAin and foc sai6 County, personally appea[ed VICTOR L. ELLISON ana 6. J. Vsn0VER8ExE eo me pecsonally knara, rho Deing eacd bY me auly svocn, each did say thet t6ey ace respectively the Mayoc enc Cleck ot COa City oE Eagan, the municipality named Sn the focegoing Lnetrument, a of Ste t City Council f and a said Mao[ ano Cleckunicipaliiy by aud acknwledged said Snslcument to be the f[ee act and caed of ealo munlcipality. , terru ? CG. ?l , ?,CGClC ?? p:Me wnn ? KIClS No-cn Y?MNFfue Ot? N ter Public ? Kt? ?AKOTA COUNTV ¦r La..+?w 4r rn l NY -2- STATB OP MINNESOTA) 1 se. COUNTY OF D*Xafll 1 oa this .?S'" day of M+v , 1989, Defore me e Notacy Public vithln and foc said County, peceonally appeered .tN,..ffs 3. Na,c.,.E .4n+ to me r nelly . known, who being eaeh by me duly swocn, aaeR did eay that _ _p____-.-=+i LG! yRFS?e?rr O"} of tha Cocpocation named in tne focegoing ,.. Snetcument, -- --' t- --' '---- -- '- -'- and that eaid lnsu umeni wea, signea ena-eea?ed on Dspalf of saia cocposation by auchoiity of iis Boacd o£ Directo[B 6nd Ba1d 'Pgar.a? -ane- acknwleaged saia insecument io be th0 frts aci and deea of the cccpocation. ,• t: ......... r, . '- ElIZABETM A. WITT y Mo?iurwwo.rnwuefA OAADTA COUNTY Notaiq?Pub11C ?e.?.w..o..?rr+?? • ^ _ ' w r ? APPROVED AS TO fOAM: t `- ' ? ? - C y Attorney' 2" e stee APPFOVED AS TO NTENTt r? ? ('.?{!?, c? Public ocks De ctme t Detee a-,7$ 19IS INSTRtlMENT XAS DRAPTED BYt '(?6D? ?4 32-3136 !lCMENDlIY i BEYERSONr P.A. 7300 Neei 147eh Stceet P.O. Box 24329 Appla Vsllcy, MN 55124 I} -3- Cities Digital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. i •- SEVER50N,SHELDON, DOUGHERTY & MOLENDA, P.A. SUITE 600 7300 WBST 147TH STA6ET APPLE VALLEY, MINNESOTA 55124J580 (952) 432-3136 TELEFAX NUMBER (952) 432-3780 &MAIL bauev@seversonsheldon wm T0: John Gorder, Assistant City Engineer FROM : Robert B. Bauer, City Attorney IIIS-rl DATE: October 15, 2007 RE: Lot 18, Block 2, Kingswood 2"d Addition Easement No. 1154 Our File No. 206-15236 John, Enclosed for the City's records, please find the original Drainage and Utility Easement dated June 21, 2007 and recorded with the Dakota County Recorder on August 17, 2007 as Document No. 2538129. ,-. ?i ?j I?iC2t = r w DA7E RECEI1iED ? I n DAKQTA COUN7Y TREASURER-AUDITO m a 0 U ? Q ? N C N 1?/? ? > ? g O K ? ? o V 3?m vvA EZ" T ?YrrwE co a> j 0 c a csi a M U N ?? m ? d o = -o I- N oooU??m DRAINAGE AND UTIL O ? o C\ ? a om n ? ? M C as`N yv?v a+s d v ? LL UKn ? ITY EASEMENT Q THIS DRAINAGE AND UTILITY EASEMENT is made and entered into tYus .Zl day of ? y?? , 2007, by and between James H. Roberts and Mary J. Roberts, husband and wife, hereinafter referred to as "Landowners," and the City of Eagan, a municipal corporation organized under the laws of the State of Minnesota, hereinafter referred to as the "City". WITNE5SE-TH: That the Landowners, in consideration of the sum of One Dollar ($1.00) and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, do hereby grant and convey unto the City, its successors and assigns, a permanent drainage and utility easement, over, across and under the following described premises, situated within Dakota County, Minnesota, to-wit: An easement for drainage and utility purposes over, under and across part of Lot 18, Block 2, Kingswood 2"a Addition, according to the recorded plat thereof, Dakota County, Minnesota, lying southwesterly of a line lying 20.00 feet parallel to and southwesterly of the following described line: Commencing at the southwest comer of said Lot 18, thence South 75 degrees 37 minuies 30 seconds East a distance of 48.12 feet thence North 87 degrees 31 minutes 54 seconds East a distance of 58.94 feet to the point of begimiing of the line to be described, thence North 50 degrees 10 minutes 41 seconds West tc a pcir.t on the northwesterly property line, said point lying 66.00 feet distant from the southwest corner of said Lot 18, and there terminating. The grant of the foregoing permanent easement for drainage and utility purposes includes the right of the City, its contractors, agents and servants to enter upon the premises at all reasonable times to construct, reconstruct, inspect, repair and maintain pipes, conduits and mains; and the further right to remove trees, brush, undergrowth and other obstructions. After completion of such construction, maintenance, repair or removal, the City shall restore the premises to the condition in which it was found prior to the commencement of such actions, save oi-Ay for the necessary removal of trees, brush, undergrowth and other obstnxctions. RECEIVED - MAfL 200r` tiH,V iA COUNTY iREASURER-AUD(TpR And the Landowners, its successors and assigns, do covenant with the City, its successors and assigns, fliat they have the authority to granY and convey the easement herein to the City. IN WITNESS WHEREOF, the Laudowners have caused this easement to be executed as of the day and yeaz first above written. 4 nes H. Roberts y?(a s Mary 7 Ro rt STATE OF MTTN4N-ESOTA 1 )ss. COUNTY OF DAKOTA ) The foregoing instrument was acknowledged before me this --) It, day o , 2007, by James H. RoUerts and Mary J. Roberts husband and wife. ?? A', . Notary Public APPROVED AS TO FORM: City Attomey's Office Dated: $( 2-/, ?2 APPRrJVED AS TO CONTENT: _ E/??'v ? \GY? blic Warks Department Dated: i' - f L/-o ? THIS INSTRUMENt WAS DRAFTED BY: City of Eagan Engineering Division _ Public Works Department 3830 Pilot Knob Road Eagan MN 55122 Easement No. 1154 ? t?Ti?YFUWO-i?6Tp lip IN?I?YM?6?w.Y6f4?o 2 Use BLUE or BLACK Ink r For Office Use ' Permit#: L/67/ City of EaRan Permit Fee: /0 - 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Fax: (651)675-5694 Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date:/ 1 a - Site Address: 5-1-( /1-6 W uvr_i G( Unit#: Name:L,) (NA Phone: 67 Resident/ Owner Address/City/Zip: 3 y 0.7 Com( F � { Applicant is: )(Owner Contractor Type of Work Description of work: �= 00 I— Construction Cost: G/G Multi-Family Building: (Yes /No, ) Company: F Contact: Address: City: Contractor State: Zip: Phone: Email: t License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: ° Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the informationmay be classified as non-public if you provide specific reasons that would permit the City to conclude that they 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.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 4673- l (f`/V-- o �jZ-�J Applicant's Printed Name 4plicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA178255 Date Issued:08/08/2022 Permit Category:ePermit Site Address: 3854 Kings Wood Ct Lot:18 Block: 2 Addition: Kings Wood 2nd PID:10-42001-02-180 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - James H & Mary J Roberts 3854 Kingswood Ct Eagan MN 55122 (612) 300-1797 Clearwater Plumbing & Heating 19260 Mushtown Rd Prior Lake MN 55372 (952) 440-3779 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA178348 Date Issued:08/11/2022 Permit Category:ePermit Site Address: 3854 Kings Wood Ct Lot:18 Block: 2 Addition: Kings Wood 2nd PID:10-42001-02-180 Use: Description: Sub Type:Air Conditioner Work Type:Replace Description: Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - James H & Mary J Roberts 3854 Kingswood Ct Eagan MN 55122 (612) 300-1797 North State Mechanical 1444 14th Street W Hastings MN 55033 (612) 207-0345 Applicant/Permitee: Signature Issued By: Signature