4161 Kingston Ct
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INSPECTION RECORD
I CITY OF EAGAN PERMIT TYPE: "I Dr"''
I 3830 Pilot Knob Road Permit Number: '' `41 0""
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
I SITE ADDRESS: APPLICANT:
' PERMIT SUBTYPE: TYPE OF WORK:
I i... ?'iGl
PertnR No. Permh Holder Dete Telephone 7f
ELECTRIC
PLUMBING
HVAC
InspecNon Dete Insp. Commenis
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPIACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG 44a
DECK FINAL .7 _ 2,1 ^/o
?r.:xxn.; ... ... . . . .. . .. e
OFFICE USE ONLY
METER # ? PERMIT DATE 09/27/91
CHIP # PERMIT # 12315
METER SIZE B.P. RECEIPT # C 15518
ISSUE DATE B.P. RECEIPT DATE 09/24/91
- PRV - 800STER PUMP
I PLUMBER: _
? ADDRESS: _
CITY, STATE
? PHONE: -
OWNER: -
I ADDRESS: _
I CITY STATE
/allev Pltmbino
Jordan, Nba. ZIP 55352
- -2121
T4.? T?itl ? ?_
PERMIT REOUESTED J
X SEWER X WATER _ TAPS ..I
i
- COMM/IND X RESIDENTIAL
x NEW - EXISTING ?
;.j
Lawn Sprinkier Meters, are to be Installed ?
Ahead of Domestic Met rs on Water Line. '
Credit WX`L NO? be given or Deduct Meters. '
{
I AGR E TO COMPLY WITH CITY OF 'o
XAGA? ORDINANCES ?
L !l090
ZIP 55421
PHONE: SIGNATURE WHEN METER ISSUED '
1
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM '
SEWER PERMITS, CONTACT ENGINEERING DEPT.
?
t•
(gerti#irafe of (Orrupancy
Citp of tagan
iumxttptd ,n# luild'mg invrrtiun
This CemJ'icate iuued pursuanllo [he requiremerus ofSection 306ofthe Uniform Building
Code certfying thal at the time ojiuuanm thirsO? Kas rncompliance wilh the Harious
or&iwecrs olthe Cit}'reguladn8 buildin8 oonsuucaon or use Far tire foUowing.
tbe a.mrbuoe 6F M{GAR eldg. eama No. 147M-
OMRNX7TYPe- R3Agl 7aoinLDiwiti QS FD?TypeCa•d jTy3
Owaerd8mwig $? FaMM 99 DC MO= ?? R RAWR: R-DrRmr-
aowiosAdd- imneYiR, B4, Eml-q CIF SIT=Tnrp ?vn
POST M A CONSPICUOUS PIACE
• , CITY OF EAGAN
? 3830 Pilot Knob Road, P.O. Boz 21-199, Eagan, MN 55121
?
PHONE: 454-8100 ?
BUILD(N13 PERMIT Receipt #
To be used for SF DiiCi/CJtR Est. Value =161 0000 Dale 56P' [RMM 20 19 91 ?
Site Address 4161 KIN(ffitDli (jOIIR'[ ?
Lot A- Block 4- SeGSub. RILUA OT STONRBR DO S OFFIC E USE ONLY
Parcel No. 3RD Occupancy Rn3ll4'1 FEES
Pn
08 $
i
Zonin9 -
- '
W Name ?? ????? ?INC (ACluaq Const vim Bldg
Permit ? 8???00
__ .
o AddrBSS SZOl E R1VER AU (Allowable) V? ?* ?
Surcharge
City fs'tdliev Phone 571-0304 aorsanes
70
Plan Review
sw?
???
Lergth
p Name s? Deplh s? SAC
Cit ,?
?4w
=
OV Q Address S.F.7otal - ,
y 8?
?
SAC, MCWCC ?
? C11Y PhOfl2 - S.F. Foolprints _
W 60000 j,
On Site Sewage aler Conn
9
"
?w Name on sae wen 5'00
? Water Meter
?? AddfOSS MWCCSystem ?,? -
¢z
< W
City Phone
ci? water
? AccL Deposit
?
?
?
PRV Required _ S/W Permit
I hereby acknowlege thal I have read this application and state that the Baoster Pump - SM! Surcharge 050
intormation is correct and agree to comply with all applicable State of
M 2?6
00
innesota Statules and Ciry oi; Eagan Ordfia Treatment PI *
SignaNre of Permitee APPROVALS Road Unit 37000 .
A Building Permit is issued to: -?g ?_?? +ro 2ii Planner - park Ded.
on the express conditiopihat all ork shall be done in accordance with all Council
applicabie State ot Minnespta Statutes and City o( Eaqan Ordinances.
/ Bldg. Off. _ CoPles .
00
$39
'
Buildirgplficial
r
V&Lance
-
TOTAL ,
.
i
1
?
' Permit No. ermit Moidar Date Telephone p
WATEH
sevdeP
PLUMBING
H.V.A.C.
E?CTRIo
Inspeetion Date Inap. Comments
Footings I 1 71?-1141
Foundation (O- ?-g D$ Cm ?e1C ? l !1
Framing 3 V_ g D5
Roofing
Rough Plbg.
Rough Htg. 3. pS
l5ul. Pl-la-'Fl Ds
Freplace 9 DS
Final Htg. 0-y1
Orstat Test Z ? ?x
Finel Plbg. Plbg.lnspeciw - NOlilyPlumber
Const. Meter
Engr./Plan
Bldg. Final z _ Z (?
Deck Ftg.
Dedc Fnal
We14
Pr. Disp.
SEWER & WATER PERMIT
CITY OF E??GAN /?
1y?ETER #
3830 Pilot Knob Rd. 0?
Eagan, MN 55122-1897 cHiP #
METER SIZE
DATE ISSUE DATE.
SITE ADDRESS K= nqGtori COllrt
LOT ? BLOCK SEC/SUB Hi 11 c nf "atnpp?.,.??
APPLICANT: D7e ROttlund Co_ TnC„
ADDRESS: 5%01 E. River Road
CITY, STATE ?Ic{(Sley o Mr) , ZIP
PHONE: 571-03G4
PLUMBER: Ve!Jley Plw4binq
ADDRESS: 610 C'reek I.ane
CITY,STATE '` '-?n' ?'° ZIP
PHONE: „, 2... ,.21
OWNER: I'hE Rottlu*x' Co. Inc.
ADDRESS: 5201 E. River RcaN
CITY, STATE Fridley, Mri. Zip 55,421
PHONE: 571-0304
-? -:,>_/ c:? f • ;" .-/.Y-
Y
PERMITDATE 09/27/91
PERMIT # 123 15
B.P. RECEIPT # G' 151116
B.P. RECEIPT DATE 09/24/91
PRV -BOOSTER PUMP
PERMIT REQUESTED
x SEWER X WATER - TAPS
- COMM/IND x RESIDENTIAL
X NEW - EXISTING
Lawn Sprinkler Meters,are to be Installed
Ahead of Domestic MetArs on Water Line.
Credit?W}(L NO? be given (or Deduct Meters.
I AFGRE TO COMPLY WITH CITY OF
?AGA ORDINANCES
S ATURE WHEN METE SSUED
PLEASE,ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
?-
,?
? . . INSPECT N -O-RU
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
L-?Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
I SITE ADDRESS:
, sr,H i
PERMIT SUBTYPE:
APPLICANT:
TYPE OF WORK:
A t i 1 1: A I r n N
lsF1`, 1I4<0 R{1(;A`'. i 1 ME
. ???1 tlG ?
?' ?
Permlt Halder Date Telephone #
SEWER/
WATER
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGAtlON
METER
FLUSH
MAINS
coNOUCnvirv
TEST
HVDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
?
„ RE:
DATE:
SEP 27, 1991
4161 KINGSTON CT (THE ROTTLUND CO INC)
X Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
_ Your Sewer & Water Permit for the above property cannot be completed for the following
reasons: q
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
_ COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
,
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW. '
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
,.
? CASH RECEIPT
CITY 4F EAGAN .
3830 PILOT KNOB ROAO
EAGAN, MINNESOTA 55122
- (vaw
OA
.,
`
C
.? .
-77
7
i?
7
FOM
, AMO??
-feU?1"1 a)1; I1,tX? ?1ldt1?i'i,? 4h,?a y °r?
oou.nps
,m
. . . ? CASH: -?CHECK
FM
H
I G 7p?1 G`: ?? Ga???+ ??
FUND OBJECT AMOUNT
.i,) -Y/1 ?5K L u 11 rL 0 t? tj I i_ f. 1:
Address: 4161 KINGSTON COJRT Lot g Blk q Sec/Sub jj=5 OF STOf]EBRIDGE 3RD
These items were/were not complete at the time of the final inspection.
12 23 91 Yes No
Final grade (6" from siding)
Permanent steps - garage f
Permanent steps - main entry
Permanent driveway
Permanent gas L/I
Sod/seeded gYass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with tha 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. &
nFCrcL[owxn
White - City copy Yellow - Resident copy Pink - Contractor copy
CITY OF EAGAN Np _ 19709
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PHONE: 454-8100
PERMIT Receipt #
Tobeusedfor SF DWG/GAR Est.Value $161,000 Date SEPTEMBER 20 19 91
Site Address 4161 KINGSTON COURT
Lot 8 Block 4 Sec/Sub. HILLS OF STONEBF
Parcel No. 3RD _
w Name THE ROTTLUND CO INC
3 Address 5201 E RIVER RD
° city fridley Phone 571-0304
o Name SAME
O ?'
„Q Address
? City Phone
?W Name
? ; Address
aW City Phone
I hereby acknowlege that I
iniormation is correct and
Minnesola StaWtes and Citi
Signature of Permitee
A Building Permit is issu
on the express conditio N
applicable State of Minneao
Building OHicial l`
read this application and stale that the
to conAy with all applicable State of
E iZOTTLUND CO INC
shalt be done in accordance with all
; and City?bl Eagan Ordinances.
OFFICE USE ONLY
Occupancy R-3,14-1 FEES
zoning OS PD R-1
(ACWaq Const Vj1_ Bldg. Permit $ $53.00
(Atlowa6le) Vn--- Surcharge 80•50
p ot Stories 554.00
Length 70 Plan Review
Depih 54 SAG City 100.00
S.F. Total - SAC, MCWCC 650.00
S.F. Footprints - 660.00
On Site Sewage
On Site Well _ Water Conn
?
Water M t i?
95.00
MWCC System XX ?. 30.00
City Water XX Acct. Deposil
30. 0?
PRV Required _ S/W Permit
Booster Pump - S!W Surchazge • 50
276.00
Treatment PI
APPROVALS
Road Unit 370.00
Planner - park Ded.
Council _
BIdg.Off. _ Copies
:p3,699.00
Variance - TOTAL
,i // /,,n 'a+1CI-3 I
/ • ? • • - v v ? . /
p 0121S
S
.
Request Dale ? -?Fire Rough-in Inspectio
Re uued?
Yes _No
l Reaqy Now QSN+iI Notify Inspector
When Ready?
1.;ollicensed coMractor '] owner hereby request inspection of above electrical work at
Job Atlaress (Street. Box or Route No.)
. 4ztnt City
f4li
Secnon No. Township Name No. ?ange . County
-?-- - J- -- - ?
Occupanl RINT)---_WA,6 Phone No.
-
Power Su?'(•y`er / rAddress --
-- -
Electrical Co?1`a.c:t?or (Ciompany Name)
?? FAc Contracror's License No.
Mailing Adtlress (ConVacior or Owne' Making Instailation)
Authonzed S
ynature IGonnactor! wner king InstallaLOn?
- - - - ? ? lPhone Number
MINNESO7A STA7E BOARD OF ELECTRICITV THIS INSPECTION REWEST WILL NOT
Griggs-Midway 81dg. - Room 5-173 BE ACCEPTED BV 7HE STATE BOARD
1821 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Ohone (672) 642-0800 ENCLOSED.
?Q/?/9/ REQUEST FOR ELECTRICAL INSPECTION
po See inyructions Idl completing Ihis forrn on back of yeilow copy.
?n1 7 1 fa "X° Below Work Covered by This Request
Tllfd
5F?` :"{4 EB-00001-0$
? ?7g
?. ?.u
ew 'dd Rep. TypeoBuilding AppliancesWired EquipmentWired
ome Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./industrial Fumace
rm Air Conditioner
11her (specity) Contractor5 Remarks:
Compute Inspection Fee Below:
# Other Fee N Service Enlrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 ta 200 Amps JI 0 to 100 Amps ¢
Transtormers Above 200 _ Amps Abova 100 _ Amps
SignS Inspector5 Use Only: TOTAL
Irrigation Booms o;?, ?d
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCOFltd6itTED IF NOT
Other Fee COMPLETED WITHIN 1 THS. ~
I, the Electrical Inspector, hereby Rouyn-m _
' oate ?j..
certify that the above inspection has
been made. F;nai
t
... ? ate ' G
(
OFFICE USE JNLY ?
This request void 18 months from '
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
?p v-? City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
$r7d .()6
New Construdion Reauiremenis RemodellReoair Reauiremenis Of?
?Ce?gUN_v
3 registered site surveys showirg sq. ft. ot lot, sq. fl, oi house; and all roofed areas 2 copies oi plan ,
Certof suNey R@a# =Y' _ N
(20% maximum lot coverage allaxed) t set of Energy Calculatlons for heated additions Ttee Preg;ftieRdCd ' _,? _M1I
2 copies of plan showing beam & w'rndow sizes; poured found design, ete. 1 site survey for add'Rions & decks 'I`ree f'ta.9 Required Y
1 se[ of Energy Calculations Addition -indkate ifonsife sepfic system or!-stt0 5e`(?VC ?YStam
3 copies of Tree P2servation Plan ff lot plalted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date /0/ Ij / O y t 05".V> '
t
ti
C
C
ons
ruc on
os
5ite Address UnitlSte #
N
Description of Wark f4?OW?
Multi-Family Bldg ? Y _ N Fireplace(s) _ 0 L-), _ 2
Property Owner /14C ^?/`-' Telephone # (fQ'j? )
Contractor r7 (I'G;??
Address WV frJ . t??7 ?43 City rf (,/ IW?
State Zfp ?7 31 7 Telephone #( fl"4 OW-'47 57-0)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category • Residential Ven6lation Category 1 Worksheet • New Energy Code Worksheet
(4 submissiontype) Submitted Submitted
• Energy Enveiope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plqn review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and aclrnowledge 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 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 lan i e case of w k which requires a review and
approval of plans. `
Applicant's Printed Natne Appli t's Signature ,
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish fnterior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundafion ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement *Demolition (Entire Bldg ) - Give PCA handout to applicaM
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinallNo C.O.
_ Footings (addition) _ Pluxnbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final Windows
_ Insulation ?
_ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
5LIvj75 RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55722
651-681•4675
New Construction Reauirements
0 3 registered site surveys sfwwirxg sq. ft. of lol, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 set ot Energy Calculffiions
• 3 copies of Tree Preservation Plan if lot platted after 717193
. Rim Joist Detail Options selection sheet (bldgs with 3 or less unils)
DATE -I //1 I6 2
Q$-T
RemodellRepair Reauirements
. 2 copies of plan
. 1 set of Eneryy Calculations for heated addilions
. 1 sile survey for exterior add'Rions & decks
. Indicate if home served by septic system for additions
-7S
VALUATION 01Le ? a5 L7
SITE ADDRESS ?!?j 'SCMULTI-FAMILY BLDG _ Y ? N
TYPE OF WORK ??Iin, FIREPLACE(S) & 0- 1_ 2
APPLICANT A/ fP ?' ?V,Ef'+.? c ka-fsf'?`ts-rS
STREET ADDRESS 2- 4c) ?I..v S1c? ?v,' -\- - CITY
TELEPHONE #&51-Z3o • S ?o `? CELL PHONE #
FAX #
1STATEVA ?l/ ZI P SS-10 7
PROPERTYOWNER KIC-e- (!L4 16 TELEPHONE#
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTt1 RULES 7670 CATF.C=ORY 1 MINNTSOTA RLJLES 7672
(4 submissfon type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: _____
Plumbing systern includes:
Mechanical Contractor.
Mechanical system includcs:
5ewer/Water Contractor:
Water Sof'tencr
Water Heater
No. of Baths
Air Condirioning
Heat Recovery System
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Phone #
rf? rees\ 590.(
`,q? 1 ? 2002
P ,
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 Or nqnc
Signature of Applicant t
------------------------°------°--------------...--------------°--....----------------------------...-----°--°°°°-------°-----------------°--°-----------°
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Upda[ed 4102
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of ^ piex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 LowerLevel
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 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
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolitlon (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MClES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units 5q. Ft. PRV
Nbr. of Bldgs - Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ 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 (new/replacement)
_ Insulation _ Retauring 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
7otal
.: ., S. $(. :.
>gvr?'??Y?"'?;'?? ?f?'?F>k?t;c?t:s:3r+'P(•??;;?imht?'ik>YiK?m%:?P.Yr:k;>;tPn?k?;;k??
LITt( OF ErlGA?J
f.:r'tSH.LERg r:i TERl!Siv/'IL NOn 78r
Z!f=1TE;; Hf03/98 YIMi::" 0:34;:43
?D,.
NF,hT::N FIf:F:;Ii;E t:OI;:NEh
320 9001 089 CLi=.iirif?N 114;: 50.00
2:!.55 9001 :'.589 Cl...I:"11 i0N Dr? (:?."';Cl
`:c:lLl 900!. 4:L61. I•.:lNGf's'?"f?N `_; 50„00
205 '.:)C.)i]i. 4it,:!. K:tNGS±TYJN C t].,`_iQ
';_l"`ta.1. R4Cr1elp'F, fi.mi:;u'tjh, i.G:;. .i?0
, ??r.,:r,
CRC,`?.r ?_? ., ?
.
lJSl:_R .iLtu NEtNf:Y
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
PERMIT TYPE
Permit Number:
Date Issued:
E3UILClTNG
033916
11/03/98
SITE ADDRESS:
4161 KING57QIV CT
LfIT: Et RLOCK: A
HTLLS OF STONEBRTDGE 3R0
P.I.N.: 10-32992-080-04
DESCRIPTION:
!?. GAS IN5ERT/GA5 LINE
Buildi,nq`+-Permit Type FIREPI_ACC
?
B'uildi.ng Wa'r_k Type ?iLTERATION
f??ensus Code 434 ALT. RESIDENTT.AL
/ j
.1 s ,?
REMARKS:
CHIMNEY/FLUE MUST BE TNSPECTED BEI=QRE CONCFALTNGo
FEE SUMMARY:
Base Fee $50.00
Surcharge p
Total Fee $50.50
CONTRACTOR: - Rpplicant - Sr. Lrc. OWNER:
FIRI!SIDE CORNER INC 16331042 20090911 MULLEN hIIKE
2700 N FAIRVIEW AVE 4151 KTNGS7tJN CT
ROSEVILI.E hIN 55113 EAGAN MN 56123
(612) 633-1042 (651)688-2532
I hisreby ackr7awTedge that 2 have read this application anc{ state that the
informatian is correct and agree to comply with a11 applicable State ofi Mn.
Statutes and City of Eagan Ordinances.
?
APPLICANT/PERMITEE SIGNATURE
! dKJ
r
(,SSUED BY: SIGNAT RE -
I
? C?-o is-0
1 t - 3- C? ?S'
CTTY OF EAGAN
3830 PILOT KNOB RD - 55122
1998 FIREPLACE PERMIT APPLICATION
681-4675
DATE:_ S-t ;?q_
DESCRIPTION OF WORK: _ Construct new fcreplace
? Install Eas insert onlv _
Other
PERMIT FEE: $50.50
Alterations to existing
Install eas line onlv
JOB ADDRESS:
?
LOT: ? BLOCK: SUBDIVISION/P.I.D. #: ca
APPLICANT (circle one only): OWNER CON R -CTOR 3Y`? r
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.
Name: MVj ( I LD ?A /' l ( lle- Phone
PROPERTY Last First
O WNER
5ignature:
Street Address: U t)yt C"(/ j,{Y t
City E CC G? G V? State: kIF Zip: S'/ 3
Company:-ElttPSd P 6102y' NdR/" S(Lf'C Phone#: ?'?7sx
FIREPLACE
INSTALLER Sienature: ?/'a,rw
Street Address: 7 $r5 a 0, ff fd/`Ul 0 License # ?-U??
City state: / r- zip: 5C337
-11
GAS LINE Company: Phone #:
INSTALLER Signature:
Street Address:
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 14 Fireplace
WORK TYPE
O 31 New ? 33 Alterations
u 32 i+c;cii'ribn G 34 ;:epau
GENERAL INFORMATION
Census Code. 434
SAC Code 01
REM.siRKS
Chimney/flue must be inspected before concealing.
CITY OF a.AGAN
(:ASNIERe 75 TERMINAL Nqe 72
DATEe 05/23/37 TIME: 15:i.2e52
ID:
NAME: DIANA L_ MULLEN
3214 3001 416i. KING57QN 50.00
2155 3001 4161 F.INGSTON 0.50
To+a1 Fteceipt Amalnte 50.50
CfiQ i 4261
USf.-::fi IU: _7AN
kC?k?X?%?X?%?%Xc%?Xc%c?X?%?kX??%%cX??CXs?XXc%c%??M?XXt?C??C?9cXc?X?C?%MX??k?k
CITY Of EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMI'T
PERMITTYPE: BulLplNG
Permit Number: 030025
Date issued: 05/22/97
4161 KIN65TOfV CT
LOT: 8 BLOCKe 4
HSLLS OF STQNEBftT.DGE 3RD
P.7.N. e 10--32992 0Bm-m4
DESCRIPTION:
DECK
NEW
434 AL7. ftES.T.OENTIAL
R`M/-lRKV•
Sm4f,
e'??,
??j?xUSk$ ? 'y $? ? ?p?? ?+'tY1E ?w ? .y?j•
b?jM
FEE SlJMMARY:
Base Fee
Surcharge
To.tal Fee
$100 . 00
.?W ?.50
$50.50
OWNER: -- Applicant --
muLLEN mxciIflEL
4161 KzNGsTnN c7
EAGAN mm
(512)586-2013
APPLICANT/PERMITEE SIGNATURE
-? ISSU Y: IGNATURE
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) kS70'S-0
= cinr oF Fr?GaN
3830 PILOT KNOB RD .56122 681-4675
New Construction Reauirements RemodeVReoair Reauirementa
• 3 registered site surveys ? 2 copies M plan
• 2 copies of plans (indude beam & window sizes; poured fid. design; etc.) ? 2 sRe aurvays (extarior additions 8 dedcs)
? 1 energy calculations ? 1 energy calculations for heated eddkions
? 3 copies of tree preaenation plan if lot plaried efter 7/1/93
required: _Yes _ No •
DATE: 9'/ _ CONSTRUCTION COST:
DESCRIPTiON OF WORK: a0 k a- p DP c
STREETADDRESS: /t) CT.
LOT ? BLOCK SUBD./P.I.D. #: ?L?_S C21` S7dQPb?? r?r'p
3r? Ac?
.D i ,4N14 °?- Q,,,oYkA- ?e$(P-aof 3
PROPERTY Name: 1921.! uE1') M ( d7 ' e L Phone ?Lff
OWNER qa„
Street Address: "71/ `62 /7 GS?o? eI
City: Z? p G? State: ?? - Zip: SSi 0 -?
?
CONTRACTOR Company: Phone #:
Street Address: License #:
CftY: State: Zip:
ARCHITECT/ Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer & water licensed plumber (new construction only): . Penatty applies when address change
and lot change are requested once permit is issued.
I hereby acknowledge that I have read this apptication 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 i `].?.i I+ D
Certificates of Survey Received _ Yes _ No ??11?Y !? 7p?7
Tree Preservadon Plan Received _ Yes _ No _ Not R i
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex
n 02 SF Dwelling ? 07 4-plex
0 03 SF Addition ? 08 8-plex
0 04 SF Porch o 09 12-plex
0 05 SF Misc. 0 10 = plex
? 11 Apt./Lodging o
0 12 Multi RepaidRem. ?
n 13 GaragelAccessory ?
? 14 Fireplace ?
)2' 15 Deck
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
WORK TYPE
,z( 31 New ? 33 Alterations
0 32 Addition o 34 Repair
GENERAL INFORMATION
0 36 Move
0 37 Demotition
Const. (Actual) Basement sq. ft. MCNVS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. u 3 ti
Depth Footprint sq. ft. SAC Code o?
Census Bldg ?
Census Unit a
APPROVALS
Planning Building 1"13 Engineering Variance
3
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit •
S/VN Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
* plo-Ne
? ienc?ine
* ? f*
IAND SURVEVOR3+ CI VIL ENGINEER3
LANOPI.pNNER3- lArvp15[/1PE ARCHITECTS
2122 Entcrprisr. Drive
Mr.ndota f leights, MN 55120
(612) 661 -1914
Certificate of Survey far: ?HEi FOMU N P _Co__T0C•
4X? -as3 ?- ?
?`? ??`` a? NoRtN
H 161 K?,?sS?"` ? ?
Na9°.s9?s8'? 8aB3
?
?
l
o`
6
\ ?? q?? '33 D- ? . o
I q%la ? P
? o ff 0
pvtl .n. ?
60.00
g \ ? ? o- q0. ? `Ilh.nz
\ ?' S ? / M ? 5? ?s \ ta ? ? ??? /V C/ #1??'ST?/A?
j-
??°b,??
39. Ss ?b? °`p^ 7/G., n
?
n? 'q
s??° 99'09'E /30•9S ?
1
x 900, oo Denofts £xisfinj E/evafians
oo.oo Denofes Proposed Elevations
_-"-'- Dtnofes dro"na ¢ Easemenl
---?- Dtno/ts Drainoe ?low ?rrows
o Dtnofes ,ifonumenf
Bf(117?7{?S 5h0Wn ore pslu/77E(?t
- R-OPO-LED NC?USf ELEVAT(ONS
P
Lowfst floor Elevation _ 9/0, ?
-p Ol'BIpCP EIPVO/fOI1 / ,
Gorple Slob F_levafi'on
O UFnnICS Of???SP.f IlUG
LOTB , BL.OCk4 , yILLS OF STONMRIDGE 3RD ,4GY?
onKOrA caUNTY, MINNESOTA
I herEby eertlly thal thVs snrvey, plan or report w'atl p,r/e,pnrrd by me.rn untier my dirpct eiipervizinn nnd Ihoi I om fiuly Rrqiarored Land Surveyor
under Uhe lewe of the Slate of Mianesota. Dated thisJl?day of ? A.D. 19 At_If_.
'- 24
.,
CQIe:?+nch: ,?OfCP n1f?'riiis n?r?O9
?O3O!. Z 2-
1991 BIIII.AING??O I6ATION
CITY OF EAGAN ?
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SZTE SURVEYS
1 SET OF ENERGY CALCULATIONS
ktUI.TIPLE DWELLINGS
COMMERCIAL
2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & 5TRUCTURAL PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS -
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT I5 REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE TS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESI CH_ADDRESS IS -
DESIRED. NO CHANGES WILL BE LLOWED ONCE BU I G ERMIT
l? LI V i'si i ` ?
fil ?I
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE I-T„jJAi
ai:t' ?EEN CO YL
PERMIT MUST SHOW A LICENSED PLUMBER. iI
V
To B? Used For: ?"7i/-?? }=py?. Valuation:-? Da •
' Site, Address AV!-A OFFICE USE ONLY
Lot P> Block 4
Parcel/Sub
Owner
Address c?,-Zo! E. "2iuz?lZ ??3t"j
1
City/Zip Code
Phone 1-v7??4
Contractor ?fjJr-
Addres
City/2
Phone
Arch./
Addres
city/z
Phone
Occupancy R'3 M-
Zoning (>'p R- t
Actual Const V -N
Allowable V-N
# of stories
Length 70,
Depth $Y /
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System l/
City water
PRV _
Booster Pump _
APPROVALS _
Planner
Council
Bldg. Off.
Variance
S f w V/
FEES
g53
cz,
Bldg. Permit ,
Surcharge $O a)
Plan Review LS'Sy.oo
SAC, City .441) O100
SAC, MWCC ?$D% o 0
Water Conn. 6 O.d0
Water Meter 95400
Acct. Deposit 30,oo
S/w Permit ,50
S/W Surcharge o?riY, a o
Treatment Pl. 3 o,0t9
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Pena2ty
Lot Change ?
TOTAL ,
Sewer/Water Licensed Contr.
??? agrees that all woik shall be done in accordance with
Signatu'r of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
.\
. ? .
4
~ .: VA L'`?-t-
GA
3e x 2 Z ? '79 ?.
Z??/2
___-.-?-----
768 X 15? //fSZo
j3SM T ,
__----
28 X 5G = I56S
1!5 q` Kly=
Noc,?? S"Z,? ?Y ?.
3 n x z6 -?? .?c sf3 =
uPpQrl"
85m-r : lS96 ? .
1 xtl ^ ?I
?X?yz= 9
t61GX53=
z 1
72?5
y?3?a
SS;6 ?18
16D1 SSZ ?,e 161?0??''
F.XTF.RTOR EMF•.L0l't: AVh:I;AGI•: °U" C091'11''l1'1'ImN rp`
OWN En
'k ? A
SITE ADD:?ESS ? O'Y 9, ? L.OCCC y, f+
? IUS o G?'Ib P? L?'?I ?(s? •??D lsv N ,
CONTRACTOF jZZ7 7:7'2-(/AlD GD . BATF. PNONE
Dete:min workinr; square footar;e o!' each.
1. Total exposed vall area .. ??. sq. ft. x 0.11
- 2. Total roof/ceiling area sq. ft. x e.026 = P.T 14,
• •
Total exposed wall area s?bovc rlocir = Z??' nO
a. Total wall vindov area ............................ 2ob.2-
.
b. Total door area .. ....... jMl
c. Total sliding glass doorarea ..................... 7 IF, 14-
d. Total fireplace wall area ......................... ?
G4-
e. Total wall framing area (average lOP) ............. /(,/t
f. Total net wall area above floor I
4Q'or
. g. Total rim Joist area ............................... 36
?
Total exposed foimdation area
h. Tot21 Soundetion vindow area ...................... 15%-7?
i. Total net foundation area above grade ............. C2 (Z,(? ?
. Determine "U" value o: each wall :,FF;ment.
. 8. 2ab. Z XI.,,ll 0f 4'L = 87,4+
b.
z.•U„
d• I 361?6 .
' - C. X„U„ 0,3.Z = 25. S?
d. 2?r X?i'Liti 2. ¢ '
2._ x .uUn Or00 j/ I a
f, 17 z0, c,?. X.,U,. a 04 3
. g•
h.
? 5?7S' X
2?
X .,U„ -7- q3
3. . ..... .. .............. ........ .. .r??.-?? 23Z..? o??
,.
If item 1/3 is the same as,
of ssc 6006(c)2.
or les::
:.tu,n ite:n H1,
yoti nave met the intent
0
4
Total exposed roof/ceilinG area
Total gross rooP/ceiling are:i =
J. Totel skylight area .......................... O /
/?l
. Total roof/ceiling framing area...............
.
kl. Total net insulated roof/ceiling area ........ 40
Determine "U" value for cach ruof/cei l int,, scgrncnt.
_ J X nUu
k: 11-7,q 5r X „U„ o, 027 = ?;V'V .
1. /-o (-a I . 557 X „U„ o, ti 7. 'L = 2 3 ,.35 4 . ............ .... ............:. Total Z.?.? 3 .
c ?--
If total of N4 is the same as, or less than N2, you have met ttLe intent of
SBC 60a6(c)1. . .
To utilize the total envelope system method, the values establi:hed by the
sum of itens N3 and NL shall not be greater.thr+n the sum of items N1 end M2-
1. + 2. ° -
' • 3 • , + 4 . _ .
O
_ . . .. ,
? f.
e
Gp?,GUTIDW;? (GcNT).
-rf ?Mr?- hl?tU. G? 'iW2ULA I?
IoMPoN?rt-fZ
.7
?
:u
?i
oIPM AI( A uu
- .?{???(HING .
_ 5%z lN5u?A7fc?1?
I?51D? Ai? ?I?M?
F?- VALU E
- 0,b2 -
'
19.0
???,= 2 3 . o f =
u= - ? - = 0.043 .
L
-_FFAMV WAU. G .6?D
-- pl,l,%N• vifw.
C
C
C
C
C
C
LoMPON?NTg
o_uY-!?1oE kp- RA
hN?A'jH ? N ?, .
'? X ti h ?.I C7 P?mYC(r?
[RNh105 pNp F11-At. .
: - F--vaLu5
_. . . _ o ., ? . ---?- - -
- o
2.oV _
- ? .-? $ .--- -
- ? --- ?;4'? -----_ -
?---
? -?=?a?---- -
c?-
?T?ra; ---
u
?
=G??tP?. ??Ur= (0.12 X o.0b9) -j-(o,8b x 0.043? = 4• o44- -
?
_ 4?_ -. -
?
0
?
?
?
?
I.M
;?ts-l _Fi?? ?--1????u?.
?D1 N G. --- --
?
--F-vA,?.,??? -:-__
---
?
--- ? ? ?-°
5
i
?
,
0
0
30
C4
i
?
WM?I?fv(YJ?7.-__ 55'
,
--
??
'
12. ?:
--
- r'- ---
-
?
;
(D
C
C3
C
C
5-
----
_2q
---"r?'-? o------ -
--
,?- -
??'-35• 8 3 ----.- -?
027
U -? ?.83
==-
--FCGM .
7?t5N-V? -----
0
0 '2?6-YP' ?o-
?
? ?,? ?_ D.oZ2
? PtONE
* enginei
* **
?
,
LAND 9UR V EYOR! • C1 V IL ENW NEERS
UNDPIANNERS•LAN09[APE ARCHITECiS
2422 Fnierprise Drive
Mendota lleigh[s, MN 55120
(617) 661 -1914
Certi(icate ot Survey for: ?? C ?aTrL UW9_Co._ZNc•
?
I.IoRtN
N d s9?s8,,yv 8??8 s
o??`' ?
?p y
, a 1?• n0 Q
O ? ? "?• ? / „i o V
? 2? p?\
'a A\' N10
33
? a 6a.po
? /41
e?- ti? qA 9tb.°Z
?
?.ro
?
\5 / M?, Z i f? ze o`N' , v? ? h e5 ?I?yST?/?
. Q?6? , q ?ip.
A T
y C?U?P
38. SS 7lF., 13
a
? ?
569° 99?D9'r i3o•9S ? n
EAGAN
R 6 V1F. W E 0
r?
nAvE `I - I B - 9l
A
...._?1..?..._`?dY M'Y?Y??'»I?P??.i??l??i? S.?{:,1'",??^'
Na«, ,
? 9001 oo Denofes fxisfinl E/evafions _P
9LEO_ N?x?sE Er. EvnT?r?NZ ?_ oo.oo Uerrtottps G}-oposed E/evafions Lowest Floor flev4tron _ 9/0, ?
-- Dtnotcs Drarna e'U??li!?y EaSemenl Yp o'eloc? Elevafron /
- -- Dtrro%s Ornino?P /ow xJrrows Gora?e Slob E/.ovof?O.7
o Denofey Vlor;ument g• Berarils shown ore aswmed o Uennlr< e, 1,?se1 uub
LOrB , BLOCIl4 , 91115 OF STOIVIBRI DGE 3QD ADD.
DAKOTA COCINTY, M l NNESOTA
I herebY tertify that this survey, plan or report w'af, p/reppred by me.or under my dirpr.t supervisinn nnd thai 1 nm `luly Rrgislered lBnd Surveyqr
under the lauvs ot the Slate ol Mii.nesots. Dated thislJ? dny ol ? n p 191 F
? JCL?IP: mch: !?O{ie -??r?{r1?.? .? `
nrmFrt ???7. 1?89
..aG..?? q030/. 7-7-
CITY OF EAGAN FOR CITY USE ONLY
` ?'`O 3830 PIIAT KNOB ROAD
, y ?? ' EAGAN, MN 55122 PERMIT #
•?Y PHONE: (612) 454-8100 RECEIPT # A9,1,15417
DATE :
.
1?STD??]?`IAT::'; PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
.::..:....... . .
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
---------------
-------------------------------------
WORK DESCRIPTION FEES
NEW CONST ?
ADD ON
REPAIR
OWNER NAME: iTt[ cL S CCi.
SITE ADDRESS: L'IILo` t l?%(1C'1-='FnYI
LOT : 0?_ BIACK _?_ SUBD.
INSTALLER: _??RE U°ro" A / ?,???
9303 Plymouth Ave. Na
ADDRESS:
EMdeil fi , ,
CITY: ZIP:
PHONE #:_ `1?ryo -?/I, L
1$ OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
rACH $1,000 OF PEtcMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMtTM FEE.
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WEIEN SEPAR.ATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
FEES
SITE ADDRESS:
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $ D7
STATE SURCHARGE: .50
TOTAL: $ L. SO
IGNATURE OF E ITTE
$
(SIGNATURE)
CITY OF EAGAN
G11'I ur r.e?U"
3830 PIIAT RNOB ROAD
, . -?. EAGAN, ?tN 55122
PHONE: (612) 454-8100
PLEASE COMPLETE IIPPER PORTIUN ONLY FOR
TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR
-------------------
YORK D SCRIPTION
NEW CONST
ADD ON
REPAIR
1'UK lil"lI UAL' V1VLI
PERMIT #
RECEIPT # / 302 ,4?o
nnxE :
SINGLE FAISILY DWELLINGS 5
EACH iTNIT,
•----------------------------- ---------------------------
COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
? SHOWER 3.00 3 -
D WATER CLASET 3.00 !"-
? BATH TLiB 3.00 -i LAVATORY 3
OWNER NAME : ? C? t? ? ? a ? .
I
KITCHEN SINK . 00
3.00 ?
SITE ADDRESS: C.r i ? IAUNDRY TRAY
HOT TUB/SPA 3.00
3.00 ? -
IAT: ? BIACK O? SUBDA& WATER HEATER
FIAOR DRAIN 3.00
3.00 3 --
3 =
INSTALLER: ?r? ????? •
c C.o GAS PIPING OUT.
(MINIMUM - 1)
3.00
ROUGH OPENINGS 1.50 ??T
ADDRE55 : i?'\C OTHER
.-?.
CITY' rr .a ..._
PHONE #: '?A- -'? 1 b' `
SIGNATURE OF
SUBTOTAL S
ST. SURCHARGE .50
TOTAL: ?-
C0?4fERCIALjiNDIISTRIAI.:; PLEASE COMPLETE THIS YORTION FOR ALL COP4MERCIAL/INDUSTRIAL BUZLDZNGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACB
DWELLING UNIT.
----------------- _---------- _-------- m --------------------------- m --------- -.____
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
IAT: BIACK SUBD.
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
ZIP:
WATER SOFTENER 5.00
ZIP: PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
FEES
li OF CONTRACT FEE.
STATE SIIRCHA^GL - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT FRICE x 18 $
STATE SURCHARGE $
TOTAL: $
(SIGNATURE)
CITY OF EAGAN
61(311 PLi1MBING (RESIDENTIAL) ? 3a'?
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when pernuts aze required for each unit
Date 0? U3
Site Address L4,,,p 7- 64f,4[J AA) 6Su3 Unit #
PropertyOwner Telephone#(4S1) gWf^25'3z.
Contractor
Address City
State Zip Telephone # ( )
The Applicant is ? Owner Contractor Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes Counry fee. Additional consuttant fees may apply.
Alterations To Existing Dweiling Unit, Including $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5!8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild
$ 30.00
?? Lawn irrigation system
Water softener Water heater
- -
$ 15.00
_ replacement _ additional i ? -- -
?
State Surcharge 1 '?
J ii ? ` : - ?: • ?. ' , $ .50
Tota! E3y 4,30
I hereby apply for a Resideniial Plumbing Pernvt and aclrnowledge 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 with the Plumbing Codes; that I understand this is not a
pemut, but only an applicarion for a perxnit, and work is not to start without a pernut; 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 1 f A n
A,0Ael .J, 1174,I1Pi? IIII IA
Applicant's Printed Name Ap lic nt's 'igna re
2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date
Site Address Unit #
Proper(y Owner Telephone #
l1- ? V
Contractor Ron's Mechanical, Inc.
Street Address 12010 Old Brick Yard Rd C;ty Shakopee
State MN Zip 55379 Telephone# (952 )445-8585
Bond #: Expires:
The Applicant is _ Owner ? Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
_ furnace _Additional _Replacement New
air exchanger
air conditioner
heat pump
i?? -?
'.I .;'?I
?
other
? -_= .. . .
State Surcharge $ 50
Total
T hereby apply for a Residential Mechanical Permit and acknowledge that the information is cornplete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciy of Eagan and with the Mechanical Codes; 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. `
Linda `lernca.r?d?,r v?o?.. v?pu?oc?
Applicant's Printed Name Applicant's Sign re
4°1'
City of Eago.
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
OCT 0 3 2013
Use BLUE or BLACK Ink
For Office Usej
Permit#: I t�Qn�1
Permit Fee: \..t D , a
Date Received: 10 9-)71
1�
Staff:
2013 MECHANICAL PERMIT APPLICATION LN#
Please submit two (2) sets of plan wiiith all coommerciaall��applications. /L? 10mOritt31 Date: ID-1-��J Site Address: b1 & I� 50CHv
Tenant: D(01i a M lie Y 1
Suite #:
Resident/Owner
Name: Ud12(26gr IYt� 1 f Phone: [/51/ ` _.
_ r
Address i City / Zip: lel IC Irl" l �! I O v) oY Ea g v' 0 5513
Contractor
Name: Rons Mechanical Inc License#:
Address: 12010 Old Brick Yard Road City: Shakopee
State: MN Zip: 55379 Phone: 952-445-8585
Contact: Linda Email:
Type of Work
New .--"--Replacement Additional Alteration Demolition
Description of work:
NOTE: Roof•mounted and ground: mounted -mechanical equipment i`s required tobe screened by City
Code. Please contact thellechanical-Inspector-for information on permitted screening methods.
Permit Type
RESIDENTIAL
_ Furnace
COMMERCIAL
New Construction— Interior Improvement
— Air Conditioner
Install Piping Processed
_ Air Exchanger
—
Gas Exterior HVAC Unit
Heat Pump
Under / Above ground Tank L_ Install / Remove)
Other
_ ^
RESIDENTIAL FEES:
$60.00 Minimum Add-on or
alteration to an existing unit (includes $5.00 State
bumed out appliances, ductwork, etc.) (includes
Surcharge) Cat).
$5.00 State Surcharge) = $ "' V' 00 TOTAL FEE
$100.00 Fire repair (replace
COMMERCIAL. FEES:
$70.00 Underground tank installation/removal
$55.00 Minimum
$1 million, please call for Surcharge
Contract Value $ x 1%
= $ Permit Fee
*If the project valuation is over
= $ 5.00 Surcharge*
_ $ TOTAL FEE
CALL BEFORE YOU DIG. Cali 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.aopherstateonecaILorq
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.
X L Ina°,' Del( tf\o,y0 �v
Applicant's Printed Name
x
App icants Signatur
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In ` Air Test`, Gas Service Test in -floor Heat Final HVAC Screening
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157057
Date Issued:08/01/2019
Permit Category:ePermit
Site Address: 4161 Kingston Ct
Lot:8 Block: 4 Addition: Hills Of Stonebridge 3rd
PID:10-32992-04-080
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Michael & Diana Tstes Mullen
4161 Kingston Ct
Eagan MN 55123
(651) 688-2532
Estate Claim Services Llc
6701 Penn Ave S, Suite 201B
Richfield MN 55423
(651) 309-1114
Applicant/Permitee: Signature Issued By: Signature