3857 Kings Wood Ct/
-. ?
Wertificate uf cccuvanc?
Witij vf Cfagan
zt0artutur of 13.ffbing anoeerion
This Certificate issued pursuant to the requirentents of the Uniform Building Code
cenefyiRg that at the trme of issuance this structure was in compliance with the various
ordinances ojthe City regulating building construction or use. For the following:
_
Use Qsssification: RF 1W Bldg. Permit No. 24477
Omqqncy Type Rl bil 'Laaing Distriu R 1 Type Const. VN
Owm at Buiwing HY`,AN F13F I]RS wddress 16M5 L'WK 9M IP, 1,Al??T$T rL
Budlding Address 3M- EM S?DM M1R1' lmlitY 1,1].-P-2 yKDM WOW 2-M-D
/r 1
• / / ? Daic
BltlblOg Offlpil I .
POST IN A CONSPICUOUS PLACE
117
I k' f.
INSPECTION RECORD
CITY 4F EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number. 44 ?-
Eagan, Minnesota 55123 Date Issued: -1 ! e 1 /(? A
(612) 681-4675
SITE ADDRESS:
- r I Nly ; 41liqD f: 1
? rJi,". I,Jf?1?11 .?h111
APPLICANT:
. -. I ul? ?/?i•V'! Id I i i ??
? n t.' 1 tl-1 t.-.4,Fi?•.q
. ., . .. . '1T!'.'!r. a.: . ,r ?•?wrye . +? ??, ??i.?'t} ??!':??.. • c.
RMIT SUBT1fPE: ? , --'`?' `??? • TYPE OF WORK:
. . . ..'Cn'... ,
Iil !I
INSPECTION D• • D•
lA',II! ii i Ilif'! I I I<! 1 I t1+ '!
'lllilt:? 1 H J'i 11:111
I 11+If1? I'1 fil, ? 11+l:11
?ltK'..: NRV '? b IJ f'1 ftR .-. Eckili F:MI1f ltE,it f'i f31i
PermR No. PermR Holder Dats Talephons M
S!W
PLUMBING
HVAC
ELECT ///
ELECTRI / 9 9' j{p 9 "0
Inspectlon Date Insp. ' Comments
Footings I v '
Ad.
Foundation
Framing !V
7/Q,J
T
Roofing
Rough Plbg
RoughHtg.
fo9
ls,l. rO.?l?IQ u/Gd
Fireplace
17*
Fine1 Htg.
Orsat Tsst '
Fnal Plbg. Pibg. Inspeclor - NotYfy Plumber
Const. Meter
Engr.lPlan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
!
RESIDENTIAL
- BUILDINC PERMIT APPLICATION
-4j_-/_' J/'7?./ CITY OF EAGAN ? 70-00
?? ??? 3830 PILOT KNOB RD - 55122
651-681-4675
NewConatrucdon Reouirements
. 3 reg'Lsteyed srte surveys showing sq. ft W lot sQ. R of house; a II moted areas
(20% mazimum lot coverage albwed)
• 2 mpies of plan showing beam 8 wiiWow sizes; powed found design, etc.)
• 1 set of Energy Calwlations
• 3 copies af Tree Pteservation Plan'rf bt platted aRer 7l1193
. Rim Jast Detsil Options seleclion sheet (bidgs with 3 or less units)
DATE :??
JOB SITE ADDRE:
RamodeilReoairReauirements
. 2 copies of plan
• 1 set W Energy Calalations torheated addi0ons
• 1 sBe survey for exlerior additions 8 decka
• Indicate'rf home served by SepUC System for add'Nais
VALUAION)4 ?
?
If MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER -,\Av..-45 C'
TYPE OF WORK_ FIREPLACE(S) _ 0_ 1_ 2
APPLICANT PHONE#
ADDRESS ZIPCODE
PAGER # CELL PHONE #?o ?,2 • 3?-t r:3, - "5v FAX # *
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category MINNESOTA RUI.ES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Su
- Energy Envelope Calculations Submitted ?
MINNESOTA RULES 7672
- New Energy Code Worksheet Suhmitted
Plumbing Confractor: _
Plumbing System Includes:
Mechanical Conhacfor:
Mechanical System Includes:
Sewer/Water Contractor.
_ Water Softener ,
_ Water Heater ,
No, of Baths
Air Conditioning
Heat Recovery System
Fee: $90.00
Phone #
• Fee: $70.00
Phone #
All above infortnation must be submitted prior to processing of applicaGon.
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 Ciiy of EaWn OrdKnce,5.?
SignaFure of
Phone #:
Iawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservatio? Plan Receivetk- NoeRequirea _
\ \ Updated 1101
OFFICE USE ONLY
0 01 Foundation O 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg
O 02 SF pwelling ? DS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ex[. Alt - Multi
0 03 01 of _ plex O 09 07-piex O 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
O 04 02-piex O 10 08-plex 11P 18 Deck ? 23 Porch (screened) ? 36 Multi
0 05 03-piex O 11 10-piex ? 19 LowerLevel ? 24 Storm Damage
13 06 04plex ? 12 12_plex Plbg_Y or _ N ? 25 Miscellaneous
y 31 New ? 35 Int Improvement O 38 Demolish (Interior) ? 44 Siding
O 32 Addition ? 36 Move Bldg. 13 42 Demolish (Foundation) O 45 Fire Repair
O 33 AI[eration ? 37 Demolish (Bldg)• O 43 Reroof O 46 Wlndows/Doors
? 34 Replacement •Demolition (Entire Bidg only) - Give PCA handout to applicant
Valuation l
?
Occupancy
MC/ES System
Census Code y.i Zoning ? City Water
SAC Units _?91 Stories Booster Pump
Nbr. of Units ? Sq. Ft. PRV
Nbr. of Bidgs Length Fira Sprinklered
Type of Const X-/V yyidth
REQUIRED INSPECTIONS
Faotings (new bldg)
? Fina]/C.O.
Footings (deck) FinaUNo C.O.
_ Footings (addition)
Foundation
Drain Tile
Roof _ Ice & Water Fina]
_ Framing -
_ Fireplace _ R.I. _ Air Test _ Final
_ Insularion
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By 11ILq , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Totai
I
Address 3857 xINGS WOOD ;;Ot1RT Zip 5512 2
I.ot Blk 2 Sub tcuvGS WOOD 2rID
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION.
Date: ? Yes No Inspector:
Final grade (6" tom siding) C//
Permanent steps (garage) ?
Permanent steps (main entry)
Permanent driveway
Permanent gas ?
Sod/Seeded grass ?
TraiUcurb damage ?
Porch ?
Basement finish V,
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to
the outside lawn faucet before freeze potential exists.
Contect engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
vn i...i
aF ncoii
?i
°°
oa
Requesl oata rte No.
?] C gh-In InpsecM1On Reqwratl
ou us II inspeclor when ready) Ins eqion Other Th n ough-ln
? qeady Now
W ill NotHy Inspecror
Ves ? No Dete Reatly
g
I licensed contracior E) owner hereby request inspection of above electrical work at:
Job Atl0re?5ireet 0ox or R ffi&n te No ? ?
rd
?
(I
oeD
L?
Qiy ?
6 A-A)
Secton No Townsmp Name or No Ran9e No C un
`
l
I ?
7.
Occupe IPAINTI c?
'v 0 Phan9 No .
ZAs -L? =-lf?.?f ?
Y
-3
Pow phe,
A ^ -C.L?.?? Atltlness
?/ `I `i??i ( 1/"?.C V C?'?
Ekert?e Contreclo, IGOmpany Name Co/n}?? r5 e e N
`/?
MaAing ADOress IConvad Owner Making inslallatiom
???I
e ?
AWM1Oni &gnaWr IConVatlorvOwner Ma0.i Ins Lon ? Phone Number?
/
MINNE BOAFO OF ELECTRICITY THIS INSPEQION REOUEST WILI NOT
Grigga-Mitlwey Bltlg. - Room 5-173 BE nCCEPTED BY THE STATE BOARD
1821 Univerarty Ave, St. Peul. MN 55106 UNLESS PROPER INSPECTION FEE IS
V"n¢ (612) 692-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION ?fy°V?aes-oooo -oe /
068179 ? See inslmctions for compl¢tmg ihis brm on back oi yellow copy ??G?+
"X" Below Work Covered by This Aequest "?????'.'? ?
?
ew Add Rep. TypeofBmldmg AppliancasWrted EquipmentWved
Home ange Temporery Service
? Duplex Water Heater Eleciric Heating
Apt 8utldmg ryer LoaC Management
Comm lindustnal urnace Other (Specify)
Farm Air Contlihoner
7er(sVeciN) Gonhaatvr5 Ramarks
Co mpute Inspechon Fee Below
# Other Fee # ServiceENranceSize Fee # CucwtsiFeeders Fee
Swimming Pool 0 to 200 Amps 4= rk 0 to 100 Am j
Transformers ? Above 200 _ Amps Amps
Sig05. Inspector's Use Oniy. ? TOTAL ?
trngation eooms ??5?- CC
Special Inspection ,
Alarm/Communication TNIS INSTALLATION MAY B ORDE D ISFONN ECTED IF NOT
Other Fee COMPLETED WITMIN 18 ? HS
1, the Electrical Inspector, hereby
cen
y Ih
t th
b
i Ropgn-m ar d? J ?
i
a
e a
ove inspect
on has
been made F,,,ai oare, / r ?p
OFFICE I15E ONIY ?
This requesl witl 18 months fmm
g is y' ?3/ 9/'7
.
?
N 68178,Ci? o2 ?! '
? 00
Repuest Dare
\ (/( Flre No
u ?I In eqmretl
C?ct?an A
B
ou must call ins0 ? hen reedy)
Inscuon Otner TnRougn.ln
?qeatly Now Will Nobly Inspeclm
? Yes N.
Date ReaOy
I?+!(censed contractor 71 owner hereby request inspection ot above electncal work at:
Job AOOress (SI?rq t Box ar Rout No I
ti?l`)t7 City
$etlion No TownsM1ip Nama or No Fange No ZQQty
C
Ottup I (PRINi) Phon¢ No
Po F upplier Atltlress " ,?A / /- ??./?y/? ? \J
T'? /?W V ?
Ele Vactor IComOan/_^.^.,?, Col?rac
1Q or5 License No
Mauing AOtlrass ICOnharcm?r or Owne king Installatmry
? V
L4 eg-
Authorixetl ignemre ?GOmradoe/Owner M i Inst ilatio I t, Phone ber ?
0
MINNE5070..$TA.TE BOARD OF ELECTflICITY THIS INSPECTION PWUEST WILL NOT
Gnggs-Midwey?ltlg. - Poom S-073 BE HCCEPTED BY THE STATE BOARD
1821 Univereity Ave, SI Geul. MN SStOC UNIESS PqOPER INSPEQION FEE IS
Plwne(612)6C]-OB00 ENCLOSED
4 0 REOUEST FOR ELECTRICAL INSPECTION ;i¢y=`-?a E8.00001 Noe
/? ? ? See insimctions for completing Ihis lorm on back oi yellow mpy &`?-?i?? QI g
I?
e" a t
CV 68178 "X" Below WorltCovered by This Request
Niii e Atld R y TypeofBwlding AppliancesWired EquipmemWired
Home Range Temporary Service
Dupiex Warer Heater Electric Heating
Apt Bwltling Dryer Load Menagement
Comm.llndushral Fumace Other (Specify)
Farm Air Condltioner
O!her?sV?ify) ConVa ' emarks
Compufe Inspechon Fee Below:
# Other Fee # Service n anceSize Fee # CrtcuitslFeetlers Fee
Swimmmg Pool 0 to 200 A s 0 to 100 Amps
Transformers Above 200 _ Amps A6ove 100 _ Amps
SignS Inspectors Use Onty. 7'QT ?. •' ,
Irnganon Booms ? D. VC,, ?
SpeGal Inspechon ?
AlarmlCommunication THIS INSTALLATION MAY BE D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTMS.
I, the Electrical Inspector, hereby
h
if pouyn-in oate
cert
y i
at the above inspection has
been made Final eie
OFFICE ll$E ONLY
Tprs request voitl 18 mont05lrom
REQUEST FOR ELECTRICAL INSPECTION
06,8188 ? See instmctmns far complebng this lorm on back oi yellaw cnpy.
"X" Below Work Covered by This Request
?MF&y?4 EB-00001OB
ew Adtl Rep TypeofBuAtling AppliancesWirad EqmpmeniWiretl
Home Range TempOrary Service
Dupiex Water Heater Eiectric Headng
Apt. Bmtdmg Dryer Load Management
Comm /Industnal Furnace Other (Specity)
Farm Air Conditioner
Othermyecifyj Conhactor's Remerk5
Compufe lnspectian Fee Below.
n Other fee # ServiceEntrence Size Fee # Circuits/Feeders Fee
Swimming POOI 0 to 200 Amps 0 to 100 Amps
4 Transformers Above 200 _ Amps Amps
SignS Inspector's Use Only TqL yb
Irrigation Booms ?
Special Inspection
Alarm/Commumcallon THIS MSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that the a6ove inspection has
been made. R°uyn-n
F,,,ai oace
e
OFFICE USE ONLY
Thia request void 18 momns Irom
6
S °?
?
N
?
818 ?,c? ao
o?
ReQUest Oale Frte N. R
' h.ln Inpsection ReQwretl
au rtlusl call mspedar when reatly) eM1On Other Than Rough-In
s ?.peaUy Now ?? WAI No" I ectOr
?
? Vea No DataReetl
??
xicensed contractor ? owner hereby request inspection ot above elechical woik at:
Job qdCress ( Stteet Box a R le No )
CTy
Secbon No Townsnio Name No Range No Counry
Occupan IPRkT) Phone NO
?-?6r?
VIW
PawerSuOPlrer Atltlress
Elact onV <ror IGompany Namel
??/? Co^nhatlor5 L¢ense No
?.?ly w 446 4
Mailing qooress iC br o: Owner Making In Ilatqn)
ll
Iti
?3 -3 -7
IAUmor eo Sign Wre 1Gomreqon M mg Inslallabon) Phone NumUer
84D
MINNES?TATE BOARD OF ELECTRIGITV v THI$ INSPECTION REQUEST WILL NOT
Grlgga-Mltlway BIEg. - Room S173 BE AGCEPTED BY THE STATE 90ARD
1821 Universlly Ave., 51 Paul. MN 55100 UNLESS PROPEP INSPECTION PEE IS
Phona(6/2) 663-0800 ENLLOSED
89/83/94 11133
rt?.ticate Of 110uwx Looation FoYe
}kfgao-:ioma Bufldars
?r
?
,JrP cAi6 01105
S 611 433 4293 CHGS HOUNK FRCHT
166/S!
DELMAR H. SCHWAN2
uum eimvevans 1wo.
IYpn1YM 11PlR 4a W Tln aM W MNeNAp
J, 11760 &OUTH ROBERT TRAII qp6EMOUNT. MINNE80TA 66a!! 814/124.1i89
?
psopeaad pataQa floor olav.
&6rRopoaedwg o?! bloak lar.
rropomea iweat leve9. '
eiav.
?
M ?
N ?
II ,h
J a+
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SURVEYOR'3 CBRTIFICAT@
N 870i6'OO" v,/
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? Soales ] lnmh . 30 laet
? p . Icmi PlPe momment
" EAGAN EN¢'IiVLt%nu?•x
i c
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PoOa JP 5?
/ p w 89t {IOOd hob
X1,502 - ssislLe9 apot el@o.
Q e rropoeea alov.
i SMe T6n at eAd of Kiag's
Unod Opurt - 067.10
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o ;_ - ,? y9 e? r? H19h wateY 826.0
4 ?39....?L6 w
? Drsinage c h ^. V"?
II • atility
saeaoenta/ / ? _ 6'i° ,at-e?. -
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ry ? ?
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? HEVIEINE0
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o BY?
DAT .?-
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.
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pze,i3aqa 6 otilit
q4f'r ? s.eam?.eo
1lddceeat 3e57 Lin9oe 7,Ye ' 3 Q• ?
xoaa Court
beeaription: lot 17, Black Y.
KINUB wdOD 21m ADDITx01i. ?SLN?acaoidin9 to the teoorded
llaiatain exiating
lot line gr? tar
amrqenuy ?
oaercxey g?ot
0?I??
L?
r,M ?a; tv,ed
OD
,c.pu
plai theeaof. Dakota Couatyr
Minnesota.
1 3. oic t x r*ws. O trrfr
on
uno enovin9 r.na iocweion o£ s pcopoaed houae stsked tAaYeon. a e,? ` t e.t ?wTI d? M?t s r
.y, ..: . :...;? B 4. N N ?iir?-
IhsriM a'tllythtlllNtKWrs1?, Wgo.orreoon wee ^-?N ca
properedbymaaYndermydlHatwMnlLbnMtl .,:?Jl,. ' - lys? • ??
lhal 1 Jm a puly RoplUeroO Und 8urvry0t undn ?
ths lewI W tM Slne ol Mlm?ots. I?f I MAfi tl.
C } `?f:lirV.-'?Ni pelmlrH,Bonw?n=
Ottad MlnnOSOU AsplfhNlOn No. 6646 ,
xevieed 08-31-94
R-93% 612 423 2255 08-31-94 11:33AM P001 li20
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: BuiLozNG
3830 Pilot Knob Road Permit Number: 0 2 4 4 7 7
Eagan, Minnesota 55123 Date Issued: 0 9/ 01 / 9 4
(612) 681-4675
SITE ADDRESS: LoT : 17 B L 0 C K: z APPLICANT:
3857 KINGS WOOD CT WOGAN CUSTOM CARPENTRY G
KINGS WOOD 2N0 (612) 435-5854
PERMIT SUBTYPE:
SF DW6
TYPE OF WORK:
NEW
INSPECTION
FOOTINGS D. .
FOUNDATION D.
FRAMING ROOFIMG
INSULATION FIREPLACE
ROUGH IN PLBG
ROU6H IN HTG I
FINAL PLBG FINflL
REMARKS: PRV
?
?
S 6 W PLBR - BRUCKMUELLER PLBG
7
-j
PERMIT (',P`???? ??
? CITY C?'F EAGAN
3830 Pilot Knob Foad PERMIT TYPE: ?
B U I L D I N G?
Eagan, Minnesota 55123 Permit Number: 024477
(612) 681-4675 Date Issued: 0 9/ 01 J 9 4
SITE ADDRESS:
3857 KIN6S WDOD CT
LOT: 17 BLOCK: 2
KIN6S WOOD 2ND
P.I.N.: 10-42001-170-02
DESCRIPTION:
Building',p?ermit Type SF OWG
Building Wo,rk 7ype NEW
UBC Occupancy `.R-1'M-1
? Construction 7yp V-N
? 2aning I \ R-1
? Building Length ? 69
\ Building Width ? 56
j,-
?
?'-
`* ??J ?,?"
REMARKS:
PRV 3& W PLBR - BRUCKMUELLER PLBG
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC ?
3AC Units
Subtotal
$790.00
$513.56
$71.50
$800.00
100
1
$2,175.08
$143.000
MSSCELLANEOU5 $1.82$.50
Total Fee $4,003.50
CONTRACTOR: - Applicant - 5T. LIC. OWNER:
HOGAN CUSTOM CARPEN7RY G 19355854 0004916 HOGAN HOME BLDRS
16025 OAK SHORE DR 16025 OAK SHORE DR
LAKEVILLE MN 55044 LAKEVILLE MN 55044
(612) 435-5854 (612)435-5854
I hereby acknnwledge that T have read this applicatian and state that the
infarmation is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan prdinances.
\/" ,..L.1/ \ I 14bA A_
APPLIGA T/PE IT E I E ISSUED BY IGN URE
09i03i94 11:33
YLiCicaYe of HOupe I.ocatlon Pote
Hpyan Ndwe Bullders
?r
.177' C29i? ?NU?,?
S 612 473 7255 CHPS NDVRK NRCHT
16b/53
?1?aF ?? DELMAR H. SCHWAN2
Lnta BUnvevona. ma.
ppyw?d Wbw W. el TM OMb YI YN'rW1
,n 11760 SOUTII flOBERT TRAIL q06EM0UNT. MINNE90TA SEM 617/429W80
psopoaed?-. ?g?er?a4a floor elev.
- ?-
pppposed sop of bloak lev.
66.67 r
ftopDaea iCP.edt ievai ,
elev. 8j
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II
J
W
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SURYEYOR'S CERTIFIGAT6
rnz . ll
?
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01
N
? Scales S 1roB e 34 feet
? p a Ixon Plpa momtnnenL
?
? p .. Set waad hnb
?Kg$2 = saietiing gpot elev.
EAGAN
G?? o ` u? ?? ua? ?
Q e rrogoeed alev.
i Slls RNfI At C/ld OC 1CiPQos
E; "? iMod (butt - 067.10
P[md JD 5
1
Hiqh rater -elsv•.•634+4
N 7y?/?_50.. ML r e26.0 ?
Drainage 6 yq
N N
utility S ilv
Fwt
BQ9BmBnte ? _ 5.?op? JPE' ~ q ?
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+ 0,N?
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, Drai e k Utilit a
?...; ?Raeameats ?t+PN... _R( p ? . 1)
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AddcOea s 3857 Kle9 '8 ? 7,? ° 7'3 • .
wnaa Court Op" ?//"
pe?=iotion: i.ot 17. slack 2, ?'?/ y
.?KINGS vODb 2tID ADDITxI7N. I accordi? to t3?e recordad
5
S1^r 40d
m
?..K?IV Wd40 ?
b
_`_'?=NE
?c-pu RT
plst lheranf, Dakata CaintY. 1?1 ov 46$XEQL?AI?%f .
/
Mi?maeele. ,
; 111so ehoving the loewtion o£ s PsoPOSed houas atalcad that sm.
VI*T1 H1 Ps
i nareor aruly tea mn ftK+v. M*n. or rapon wae v
preperedeymeaumdermrcpnetsuvniuon ?nd ;?,t,." ''•.
Ihst 1 Pm 0 puly Re916llrod Land Burvayor undn !#k.'
tna lawa o1 ths Ste1a ol MImlMals- _?j ! ??i I MAIi FI.
t i ??f.11rV.?Ni
Detad . 08-26-94 ^t.; •
xavieed 08-31-94
R=93%
l1
? ?. ?9 6?l aa A.•7
? pelmer H. Bohwen:
y?nropts Repstrallpn F/o. 8826 C
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612 423 2255 08-31-94 11:33AM P001 #20
E A (G
f2EVI E\NELi
OAT ' ? /
Maintain exieting
lot line 9YSd Ear
eeergency ?
overfioy h?n
51
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LOT BIIRVEY CHECRLIST FOR RESIDENTIAL
SUILDING
PROPERTY LEGAL•
DQCIIMENT BTANDARDS
?
Date of 8u?veys
.I
ac-?-
??
Registered Land Surveyor signature and company
Building Permit Applicant
Legal description
Address
North arrow and mar scale
House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
Directional drainage arrows with slope/qradient $.
Proposed/existing sewer and water services
Street name
Driveway
Existina
0?0 0 • Sewer service
0' 0 0 • Lot corners
0?0 • Top of curb at the driveway
0CF--I) • Elevations of any existing adjacent homes
prooosed
Gf'0 0 • Garage floor
0?'? 0 • First floor
0? 0 0 • Lowest exposed elevation (walkout/window)
0 • Property corners
fd' ? 0 • Front and rear of home at the foundation
BONDING AREA6 (if appiicable)
@??0 • Easement line
0'' 9? 0 • rrwL
[? ? 0 • HwL
???,,p ?] • Pond # designation
Gd?`r 0 • Emergency Overflow Elevation
DIMENBIONB
0?0 0 • Lot lines
0'?-0 0 • Right-of-way and street width (to back of curb)
0?0 0 • Proposed home dimensions including any proposed decks,
overhangs qreater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
2r'0 13 • Show all easements of record and any City utilities within
those easements
GF"'713 0 ? Setbacks of proposed structure and setback of adjacent
existing home
0 ,3 • Retaininq 1 r i ments, if any
Reviewed: / / J /
October 1992
,I?IIJ LV? ' A- _
.4 12+40 9000
?I 15 ? ' w-es" _
1 12 +45 ? , ? Ip' ? i1? $Zp S- 856.2
-856.1 1 tl I
+a-866.0 ' ? , ` ? . _`
6x6° TEE .0 - '?_, 18
G.V. a BOX rc,.v r '36? f
f I/16 BEND-F2-6" MZ.? 25' 30'
, iNSTALL CJ.SP SER CE 4?
CLEANOUT AT PR . ,
LINE (PLATE 34 A1
- F- --" ,. --? g11/ FOR LOTS 17 IB. W''71.4
!G ?±?S-861.7
-865.p luo`
"4V
,,-57855.2 9Z 7, 19
n ' F 1•- 2 ! I ,I? ?, 8 -a .
6 PLUG ? Nsr. EqsF. ? ??H ? 867.64)
J ?4 T jtLI.} p SEED a MULCH DISTURBED
l??iyy_ ?5 1 AREA WITHIN I WEEK AFTER
1' S-855.2, INSTA LATION. INSTALL EROS N
CONT OL AS DIRECTED.
••_?_ _. - `_?-"-'::,F lE^?- ..='? ?? 10„' '2
1MH-I
---
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EXISTING ABAND NED
?E?•P?.•_.?Y SAN. SEWER ?
K. MH a -'26PERM. UTILITY ?NTER
TURE MARKERD EASEMENT ?-
? NOTE SERVICES
1 4" PVC SDR 26 NOTI
/ NOTEI ADJUST SERVICE IOCATIONS I" COPPER All
PLACE CURB BOX ON PROPERTY 7 h
TO AVOID LARGE TREES. LINE & EXTEND SERVICES 15' INTO LOT OVE
UNLESS HE WI E N ED.
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1RVE DATA
55° 23' 00"
116.71
61.25
112.81
49.0943
0176
I + 88.81
60
s4.2
?
8 C.Y. CL3
iIPRAP &
RUCTURE
aRKER ?
r
MH-101
NCE
FIELD
S
'TURBED AREA
OF PIPE INSTALLTION
\ L = Ibti.::
d=II.O'
PC=17+4
PT=19?1i
14
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C$B-?1?02?A PV1=I+
ELEV.=B 5
5:30 P
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V.=872.80
.: 63.6 I ? ?
VC = 50' V = 5U °D ?
M=0.31 M =0+25
15 '-115"RC CL.S@ 2. % 49
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TW'iE Ci i t' OF E?GAfV OES ?4f? i GI1 l", !
4e ;r 1 I i
?.f?D/OR
ELEVATION4 ? .
. THIS
DAT? ?liN IVfd?
IS FOR
'
7
' CLASS tlVK3FiF.P T iON PUR POSES OPI LY AND
PrO?SOi?l' US
•
B
BEDDING ING IT SHOUID VE RiFY THc
, ? INFQRM TIOPdONTH SITE.
.
--
L -- M ?? - - - ?
• ' PrJG 26 ,'94 11:50RM SHRW LUMHER C0. P.1
E%TEttIOR ENVEIOPE AUEAAGE "U" COh1PU7ATI0N
OYlNER GrI "¢42r-erw e44 f tF?
SITE ADARESS -
COk'fRACTOR DA7E Q'? AFIONE
qetermine warking squdre footage of each.
1. Total exposed wa11 area ...... sR• ft. x-,U- °[.?25
2. Total roof/ceiling area ...... ZF?f aq. ft. x,p26 °[??
Total exposed wall area above floor =?25.3?
a. Total wail window area ........................... 3g780
b. Total door area ... ........................... _ 5 7?
?g.---
c. Total sliding glass door aree ........
d. TcteT fireplace walt erea,...... . ••••••• ?? .
?
e. Total walt framing trea (averzge l0%).............
f. Tctal net wa11 arc: above floor .................
g. Total rim jaist araa ............................
Total ezposed foun?eLion area
.... ?
h. Total foundation window area.................
...•
1. 7oa1 nefi foundation area Abcve grade ........
petermine "U" value cF ea:h wall segmant.
a. L?E/ /.G0 X o,Uii `-? L./ a / 3
?
e. S-7,7& z Ou„ ,123 __ 7,//
c: 5'0 -x ,iu„ i3.60
d. ? z „uli
e. •?S3.60,0 x llu,i ? 49 e 22.8?
f. /796.2Z z "u.- .oy
x
. „ui,
h. Z
111i
liV
n ?.
..? ? ,
gou,l , p? e?3.74
3 .....................................Tota1 ` la-:sr-L
If iLem p3 is the same es, or iess then item kt. you have met"the intent
of SBC 6006(C)2.
,AkJG 26 '94 11:52AM SHRW LUMHER C0.
P.4
7ota1 ezpased ronf/ceiling area ¦ ?9 02
J. 7ota1 skyllght Aree,.... , .......................
k. Tote1 roof/ceil4ng framing area (average
••• -
1. Total net insulated roof/ceiting area........
Determine "U" vaiua for eech roof/Ceiling segment.
? .. X liuit
•_...?.'._-.
k. 1?.:. X
I. / I2O. % X nUu i?? ° 73•Z?.
4............,............. . ..... Total
If tvtal a4 #4 ts the same as, or lass than F21 you have met the intent of
SBC 6006(c)1.
Alternata Butlding Envelope Design io utilize the tctal envelope system mathod, the values established hy the
sum nf items d3 and k4 Sha11 not be greater than the sum of it_Ems ,H1 a-id ?7.
Cbe
1. 34?• 9? ?+ 2.
3. + 4 ?l8- ? / _ _ 307, / c?
.
..?
??..?1??•-?'a?l?.;'t'P'
i441q
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
M m.n
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site veys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structur _plau„ 1_5pat0f
specifications, 1 copy of energy ca .
Penalty applies: 1) when permit is typed, but not picke(I 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 4 u(' / /99Valuation of work Z°14 G00 n?
t
Site Address: 3?57 KinlaSwood C'auic7'
STREET SUITE #
Tenant Name: (commercial only)
LOT SLOCK ? SUBD. "160GdQ/ d P•I.D. ik
Descri tion of work: 'cJ
The applicant is: ? Owner 0 Contractor ? Other (Describe)
Name -TAo4FS a,)D Phone W9??- d16Cv
Property LASr FIRST
Own@I' pddress 12531 ?b2,-es}'j cf AuE So.
STREET STE k
City 53ufi.+"BU.CCe State .0??? Zip 7
Campany ?JoCAnl Oome' gu,CDF&s Phone
Contractor Address 1IDL)ZG oRK 6142F License # W Exp. 8131191!5`
City ?-FI<f??LC.£ State /;5V1 rJn1FS6%A Zip S60??-6657
Company Phone
Architect/
Engineer Name Registration #
Address "
City 5tate 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:?_??t!
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Faundation ? 06 Duplex O 11 Apt./Lodging
M 02 SF Dwg. p 07 4-Plex 0 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
E3 05 SF Misc. O 10 Multi. Add'1. ? 15 Deck
WORK TYPE
Pf 31 New ? 33 Alterations ? 35 Tenant finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
W 'a a ,
? 16 Basement Finish
? 17 Swim Pool
? 18 Camm./Ind.
? 19 Comm./Ind. Misc.
O 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
Const. (Actual) rG-N Basement sq. ft. MWCC 5ystem
(Allowable) N lst F7. sq. ft. City Water
UBC Occupancy ,2- -1 2nd F1. sq. ft. PRV Required ?
Zoning Q-l Sq. Ft. total Booster Pump
??7of Stories Footprint Sq. ft. Fire Sprinkler
Length ?vy On-site well Census Code T
Depth s?.s3 On-site sewage SAC Code o?
Und
C
APPROVALS ensus
t _L
Planning Building Assessments
Engineering Variance
REGIUIRED IN SPECTION S
? .Site ,p Footing ET-Framing 0,Insulation
? Wallboard 9 Final ? Oraintile ? Fireplace
Permit Fee v.iuot;«n: g /5'3, o00 `
Surcharge
Plan Review
License
MWCC SAC ???°?r L79RA ?
City SAC sz x3 y= n?a
Water Conn. zo , ss X 32
'?5°•?
Water Meter z°
Z X SO v?
Acct. Deposit
S/W Permit l
Ggo.s?,?v-
/,es?o x ir -zo, vvof
S/W Surcharge --- -
Treatment P1. ° ys
Road Unit
Park Ded. 13,,,r< = i?q6
Trails Ded. a
Iy
C0pleS 2x7 - - 7
9D c sY •/o? ?/o l
Other
Total: - ---
SAC %
SAC Units
220897
OFSICE OF 711E REOISTMR OF
TIRES• W140fA WU'1'TY. MK
CERTFEDTIW iHE WIT/W
IIBTf\MEM Wn4 FLEU W TNS
OFFILE ON NND R
C:1
Dor-
cEmsrAE r+a C*
.M?9 N. D0.MJ ?
pEO?Sff1Af1 OF T/RE8 p. ? ,
?
DEFUTYoo
FEE
CASH T
cHac
CHAAOE
CKAF03E V*6OM-
FEj:UND
o?S63
?
SEVd.csun, cc'o, ? S'+ccoov
rto
1jjvoA,JL...o ?n---,-*Lz-
5a7oii 1 ?
OFFICE OF THE COUN7Y
11ECORDER-MKOTACWNiI',MN
/?j...?
y^y^????
l
Iu
CERTIFIED WAS FlO ?f
INS ON
TM1S OFFICE
Ai /
" /
899`IL'
193 ?0
I?-{ ?'? I' ? g'rq /'1 ?.
!
OH AND
ocr ?? 31 PN'69 3?. 9 1 8?
r9 8Y I`l,'f
193 ?.?119? Ft49'f j
90'7011 19 8Y9
?'.
?NO
JAMES N. COUNTY? /R?EC?Ot?PDER
OEPUTV? FEE
??? ' C 3 ?a.31??
9 y(' ?? i'
U
-1.
CASN 0 CHEbf X CNAHGE fJ !
I S .J p
CHMGE W110M
REFUNO
3 7y
I S.3 ? a
y 4;(".
00 NOT HENOVE I S 3 ,?,938f 819?:,
1`) 3?Q 31o? &9r(1
. 193vf'? 3V 8`f`?E i
i93 ??40? 8Y%,-c
I?3?,-) `f I? b`I7.?
193yv-?a? S4O,.
C;) bd 0-
1- 1-
zlaes7
907011
[IIIGS MOOD 4IiD ADDIT2011
PAESSOA6 R600C2BG VN.VR 116ABBMBNS
TH AGRBEMENT, made and eateced lnto CAe ?# caY °L
, 1989, by aad bstween the CITY OP EAGAN, a
Nunici 'lity of the 5tate of Minaesote, (hereinaftec calleo the CITY,
and th?e Ovnec and the Developec SdenGiflea Aerein.
The te[ma •Developei' and '01iAe[' as ueed heLein tefec to HORNE
DEVELOP146NT CORYORATiON xhose addceea ie 3850 CoronatSon Road, 8agan,
Minnenota 55122.
M9EREA5, the Developer hae epplied to the City fot appcwel of
the plat or eubdivision knwn ae RINGS W00[7 2ND ADDITION, located
r1u41n the Cityt and
XBEREAS, the Ownec and Developec ngree Yo notify the pcoposea
potential buyers of a+l lote within kINGS WOOD 2ND APDITION ihat Lots
27, 18, 29 and 30, Block 1 aad Lota 14, 15, 16, 17, 18, 19r 20, 21r
22, 23, and 21, Block 2 ace in a high water preseuce zone entl a
pressuce cedueing valve ehnll be inatalled Sn each hame belov the
elevaeion oE 875 feei. All coste shall be the cesponsibSlity of the
Owner and Developec nnd ehell De Snetalled eo pcevent mmage aue to
high wates preaeuce.
Nppt# TBEHEFORE, the City, Owner and Developec agree ae followe:
1, aeeordino, TAle agreemnnt ehall be cewrded with the Dakota
Couney Recordsr so ne to provide notiee Go the ovrnece oE Lote 27, 28.
29, and 30, HlOCk 1 and Lota 11r 15, 16, 17, 18, 19, 20r 21, 22r 23,
and 74, Block 2, RIHGS XOOD 2ND AGDITION. The wnec shall Qroviae eno
ezecute any and all documenta neceseary to Smplement the recoiding oi
t61s agceement.
Z, np,{Ire. The recordln9 of thia document shall conetitute
notica to all orneca aad Lutuce wners of pcope=ty in the 1CINGS wCOn
2ND AOaI?ION thet Loes 27, 28, 29, anc 30, Block 1 and Lots 14, 15,
16, 17, 18, 19r 20, 21t 22, 23p and 240 Block 2 aca !n a higd rater
preeauca zona and tAai a pressu[e reducinq vaive ehall Ds installeo
Sn eae6 bame beiow t6a elavation of 675 feet. All coete sdall be the
responeibility of the Buyec and ehsll De inBtalled to prevent demage
due Lo Aigh ratec preeeure.
3, Validfcv, Ii any poction# seciion, cubsecelon, senience,
elauee, pacagraph or phrnae oi ehie aqceemenL ie for any ceseon Aeld
io be Snvalid, such decielon ehell not sffeci the va11a1ty of the
cemaining pocelon of this Contract.
4, stnafna aoreemene. TAa perties mutually rocognize and agcea
that ell terms and conditione of thie cecordnble ag[eement eAall run
witA the land he[ein Cesccibed and ehall bs binaing upon the heira,
eucceasore, adminiatcaeoca and aseigns of the wnece ana developeca
ceferenced in ihie Contract.
IN xITNESS NBEREOF, we have hereunto eet ouc hande.
CITY OP AGAN p1NER AND DEVELOPEF
(Datei ) BOHNE OEVELOPNFNT CORPOflATION
ey s gy i
Ite hayoc I f
_. ?
Atteetr
scs c ck r--=
.•..... ? ' ?
ainn ? ?ourcwrou6 {,? .GCL C ?
xy?? `G:M?RSLIC?Yn?NEWt1 pU
V4 DAKOTA COUNTY N [ar
?Y N ca.nw 4t rn a n0
-2-
STATE OP MINNESOTA)
COI]NTY OP
On tAis KN day oi k 4 ,1989, Detoce me a Notary Fublic
vithin and fos eaid County, pecsonally appeaced VICTOR L. ELL250N ano
E. J. VaROVERBE&B i0 me peceonally knorrn, rho being eacA by me buly
ewo=n, eacA did say that they ace respectively the Mayoc ano Cleck ot
tAat City ot Eagsn, the municipality named in the focegoinq
Snatcument, and thet the eeal aLEixed on bedalf oE enid municipality
by sutdocity oi lie City Counoil and aaid Nayoc and Cleck
acknorledged eaid Snstrumeni to be the f[ee sct and deed of sala
municlpality. ,
STATB OP MINNESOTA)
) ea.
COVNT2 OP e+k )
On this ? day of M+ Y , 1989, before me a Notary Public
vitbin end foc saia County, personally appeaced
3. N<£ a?d• to me c neliy, _
known, who being raeh by me duly cvocn, eaeh did eay that ?3s?
rlspe0!'krlir tt1! PRES?e?er Re!} -
01 the Cocpocailon named !n tne focego;ng ..
and tAnt seid inatcument vee, .
eignea end--eea3ed on beAalt oL sala cocpocation Dy authority ot tto -
Board of Directoce sn0 said PRes.??..r bwr _ ecknwleagec saia inetcument to be CAO fr"
aci end deea of the corpocatlon. L
I?PPROVED AS TO FORM:
?
C y Actocney' S e
ates
APPAOVED AS TO NTEHTi
ri l'.L?/?, r'c
PuDlic ocka Depar7?8
DCtei ?
15I8 SNSTRDMENT MAS DRAFTED BYt
McMLNOMY i SEVERSONr P.A.
7300 Xaet 347th Seceat
P.O. Box 24349
Apple Valley, MN $5124
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DA?OTA COUNTY
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1994 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DATE:
CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
t OJ n
vl' ?Vxr. Yw`cw?"Pn L?t?Irr,? ?
a iv r+ a'LG
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (uvPxovEMENrs oxi.Y)
INSTAL,LER:
ADDRFSS:
CTTl': STATE: ZIP CODE:
TELEPHONE #:
SIGNATURE OF PERMITTEE CITY INSPECTOR
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIItED FOR EACH UNTT.
? NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT
DATE 6 0- I 3•? H
FEES HVAC: 0-100 M BTU $ 24.00 '
ADDITIONAL 50 M BTU
i
GAS OUTr_ETS !MnvnvtuM i@$3.nn FeCu; ;, o0
C
ADD-ON/REMODEL (E7cIS'rIlVC CoNSTRUCTioN) ?
STATE SURCHARGE .Sp ?
TOTAL
srrE twDxESS:3f57 isf?vG_SWaoD ca??zT
OWNER NAM : A ? TELEpHONE #:
INSTALLER: cJAM,_s
CITl': STATE: ?JN ZIP CODE: ?S.33 `?-
TELEPHONE #: ,
1994 MECHANICAL PERMIT (RESIDENTTAL)
CITY OF EAGAN
3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAIJINDUSTRIAL BUILDINGS. ALSO FORML7LTI-
FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING UNTT.
_ NER' CONSTRUCTIOIV
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACP PRICE: $
FEE: 196 OF CONTRACT FEE.
STATE SURCHARGE $.50 FOR EACH $1,000 OF "M` FEE.
MINIMUM FEE: $ 25.00
CONTRACT PRICE X 1% $
STATE SURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAME: STE #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
STATE:
ZIP CODE:
FOR:
CITY OF EAGAIV APPLICANT
1994 PLUMBING PERMIT (COMMERC7AL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
1994 PLIJMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
COND05 WIIEN PERMITS ARE REQUIRED FOR EACH UN1T.
NO. FIXTURES EACH TOTAL
/ SHOWER 3,00 3.vv
WATERCLOSET 3.00 G.oC,.?
_L BATH TUS 3.00 31o,?
? LAVATORY 3.00 ('r o v
KITCHEN SINK 3.00
_L LAUNDRY TRAY 3.00 x, o v
HOT TUB/SPA
WATER H 3,00
EATBR 3.00 ?, o v
? FLOOR DRAIN 3.00 3t a v
- GAS PIPING OLTTL.ET • minimum • r 3.00 _ 3. o v
5 ROUGH OPENINGS 1.50 7? v
WATER SOFTENER 5.00
PRIVATE DISP. • nXc,y. u, 20.00
U.G. SPRINKLER • home unda coneG 3.00
ALTERATTONS • ta adsung 20.00
WATER TURN AROUND 20.00
L?'rJi ?"U
STATE SURCHARGE .50
TOTAL: D
srrE aDnREss: _ 3 2? ?"'7
OWNER NF,ME: 7'?>y t'? -3
INSTALLER:
ADDRESS:
? -
-
CITY:_
v STATE: /`ysn ZIP CODE:
PHONE #: ( ) CrY?-- E? ? C,?
SIGNATURE OF `PERMITTEE
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA161784
Date Issued:06/12/2020
Permit Category:ePermit
Site Address: 3857 Kings Wood Ct
Lot:17 Block: 2 Addition: Kings Wood 2nd
PID:10-42001-02-170
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 -
Meredith L Elumba
3857 Kings Wood Ct
Eagan MN 55122
Haferman Water Conditioning
12142 12th Ave.
Burnsville MN 55337
(952) 894-4040
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA176501
Date Issued:05/19/2022
Permit Category:ePermit
Site Address: 3857 Kings Wood Ct
Lot:17 Block: 2 Addition: Kings Wood 2nd
PID:10-42001-02-170
Use:
Description:
Sub Type:Gas Line
Work Type:Alteration
Description:
Comments:Please call for a Rough In and Air Test, prior to the Final Inspection.
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
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 -
Meredith L Elumba
3857 Kings Wood Ct
Eagan MN 55122
Bill Rascher Mechanical Inc
4921 Babcock Trail, Suite C
Inver Grove Heights MN 55077
(651) 450-6622
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA176502
Date Issued:05/19/2022
Permit Category:ePermit
Site Address: 3857 Kings Wood Ct
Lot:17 Block: 2 Addition: Kings Wood 2nd
PID:10-42001-02-170
Use:
Description:
Sub Type:Fixtures
Work Type:Alteration
Description:Kitchen
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.
All tiled shower bases require a water test.
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Meredith L Elumba
3857 Kings Wood Ct
Eagan MN 55122
Bill Rascher Mechanical Inc
4921 Babcock Trail, Suite C
Inver Grove Heights MN 55077
(651) 450-6622
Applicant/Permitee: Signature Issued By: Signature