3813 Kingswood TrAddress 3813 Kingswood Tr
Zip 5512 -
Lot 'L B11S 1 SUb Kingseaood Ponds 2nd Addition
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: , Q, Yes No Inspector.
Final grade (6" from siding)
Percnanent steps (garage)
Permanent steps (main entry) .
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish - L rllr4
Deck
Please verify with the 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.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
L1- 6 1
WAIVER OF HEARING #557
Special Assessment Authorization
UWe hereby request and authorize the City of Eagan, Minnesota (Dakota Counry) to
assess the following described property owned by me/us: Lots 1 through 3, Block 1; Lot 13,
Block 2; and Lots 1 through 11, Block 3, Kingswood Ponds Second Addition, (236.48/Lot =
$6385.00 = 27) for the benefit received from the following improvements:
ITEM QUANTITY
Water Tnuik 5 lots
Lateral Benefit
Sanitary Sewer 100 f.f.
RATE AMOUNT
$865.00/Lot $4,325.00
$20.60/f.f. $2,060.00
TOTAL
$6,385.00
to be spread over five (5) years at an annual interest rate of 7% against any remaining unpaid
ba}ances.
The undersigned, for themselves, their heirs, executors, administrators, successors and
assigns, hereby consent to the levy of these assessments, and fiuther, hereby waive notice of
any and all hearings necessary, and waive objections to any technical defects in any
proceedings related to these assessments, and fiuther waive the right to object to or appeal
fi•om these assessments made pursuant to this agreement.
DATED:
OWNER:
HORNE DEVELOPMENT
CORPORATION, a Minnesota
corporation
14
By. James B. Home
Its: President
- f
WAIVER OF HEARING #557
Special Assessment Authorization
UWe hereby request and authorize the City of Eagan, Minnesota (Dakota County) to
assess the following described property owned by me/us: Lots 1 through 3, Block 1; Lot 13,
Block 2; and Lots 1 through 11, Block 3, Kingswood Ponds Second Addirion, (236.48/Lot =
$6385.00 = 27) for the benefit received from the following improvements: ITEM QUANTITY
Water Tnu?k 5 lots
Lateral Benefit
Sanitary Sewer 100 f.f.
RATE AMOUNT
$865.00/Lot $4,325.00
$20.60/f.f. $2,060.00
TOTAL
$6,385.00
to be spread over five (5) years at an annual interest rate of 70/o against any remaizring unpaid
balances.
The undersigned, for themselves, their heirs, executors, adnunistrators, successors and
assiens, hereby consent to the levy of these assessments, and fiuther, hereby waive notice of
any and all hearings necessary, and waive objections to any technical defects in any
proceedings related to these assessments, and further waive the right to object to or appeal
from these assessments made pursuant to this agreement.
DATED: G ?
OWNER:
HORNE DEVELOPMENT
CORPORATION, a Minnesota
coiporation
I4
B : James B. Home
Its: President
STATE OF NIINNESOTA )
) ss.
COUNTY OF DAKOTA )
On this day of 1997, before me a Notary Public
within and for said County, persona appeared JAMES B. HORNE to me personally
known, who being by me duly swom, did say that he is the President of Horne Development
Corporation, the coiporation named in the foregoing instrument, and that said insmunent was
signed on behalf of said coiparation by authority of its Board of Directors and said President
aclrnowledged said instnunent to be the free act and deed of the corporation.
Notary Public
';;Z7 r I ri3
APPROVED AS TO FORM:
.
? ?-
City`Attomey's 0,ffice/ ?
Dated: - << ?rf ,
APPROVED AS TO CONTENT:
Pufilic Works Department
Dated:
THIS INSTRUIVEENT WAS DRAFTED BY:
SEVERSON, SHELDON, DOUGHERTY &
MOLENDA, P.A.
7300 West 147th Street, Suite 600
Apple Valley MN 55124
(612) 432-3136
MGD/wkt (206-15236)
? EXHIBIT "D"
?
(no KINGSW40D PONDS SECOND ADDITION
NORTH
ONNNACC FND UTIUIY USEYEMIS I
ARE SMO11N AS TM15:
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p .i0a rol ,'°"i NuN c's°om i??"o`?oanaa FINANC:IAL OBLIGATION
6[Y .!!Q!{ I920 OA711Y) 1 1/I' YONIMNT Iqp,
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MECcheck Compliance Report
1999 Minneeota Energy Code
MECcheck SoRware Vocsion 3.2 Reka9e 1
CDUN'I'Y: titkin
STATE: Mirmeeota
ZUNE: 1
CONSTRUCTTON TYYB; Single Fsmiiy
T)ATE: 06'01/01
COMPLSANCE: Pasaea
MaxLnwnUA = 338
Yout FToaae - 337
939'o Setter Than Code
Pemnt Nura6er
Checked By/Due
Gross Gle2ing
Arca or Cavity Cont. or poor
PCT1I11ttM A"valuc 'R Valuc ,.".. Factor L?A
Csiling 1: Tieited or Energy 7Zvc6 14GU
Bxtedor Well 1: WoodPrame, 16" o.c. 473
Bxtarlor'Wall2: Wood pram, 16" o.c. 37
Exttriox Wa213: Wood Freme, ld" o.c. 520
Extaioc W a11 a: Wood Frsme, 1 b" o.c. I! 4 i
Window: ccm3648-2w:
Above Cmade,'Wood Frame, poubh Pane with Low-E 52
Winduw: ccm2846-2w:
ADove Crtade, Wood Ptwne, Double Pane with Low-F 24
Window- cc,m2424;
Abotiti CAade, Wood Preme, Double Pene with Low-E 6
Wmdow: ccns2860•2w-
AbOVe Grade, Wood Prame, Double Pane with Low.E 24
Vl%indow: ccm2460•2w:
Above Gxade, Wood Prame, Double Pane with Low•E 20
YJindaw: ccm2840:
Abovo arade, Wood Frsme, Double Pane wich Low E +6
Wiadpw: CCIIVA64:
Above GTade, Wood Frame, T)oublc Pane xith Low-E
Wmdow: xm3664•2w:
Abowe Carede, Wood prame, bouble Pane with Low-E 60
Whodovr ccmp2424:
Above Grade, Wood Frame, Aeruble Pane with Low-E $
Wirdow: cCihp3624!
Above Grsde, Wood Fratne, bouble Pane wirh Low-E 24
Window: 30" S.L.:
Above Orade, Wood Frame, Daubfa Pane with T.ow-E 11
3' Patio Door: Qiass 5 p
5' Frencb Door: c3lsae 33
3' olen Dom Glaae 40
2'8 Serv. Door: Solid 1.4
Basement WaA 17 Masonry Block with 6mpty Colla, $.0' hv8. U' bgi8,0'IA6tt1
1G6 r,
Z0 X-110d W-IS3(l 3SZ?d3Z+
44.0 0.0 37
19.0 0.0 24
19.0 0.0 Z
19.0 0.0 31
19.0 0_0 42
0.330 ] 7
0.330 8
0.330 3
0.330 8
0.330 7
4.330 12
0.330 7
0.330 20
0330 3
0 334 8
U330 6
0.330 17
0.330 11
0.330 13
0.040 1
11.0 0.0
60
809L808L96 LD:91 i90L/L0/9is
?
Propmed and Maxtrnum t7-Factor Averages
Proposed Maximian
Average U-Facior A1lowtd U-Fsctur
AbovaOrade Windows end (D1ass Doora 0.330 0.370
]xlndes Fomdation W indowe > 3.6 ft2
COMPLIAivCE STATEMBNT: The pcopoaed 6uildmg design deacribed here is consistent with the huildinj plana,
spaiffeetipnS, and other calculations submitted with Nir pemiit application. The proyo9ed buil8ing hae betn
deeigned to meet the 1999 Mfinneaota ELgy ode requirznients in MECcheck Vereion 3.2 Itcieaae l.
BuildeoUesignar DateIV?
E0 3Jtid
NSIS3Q 3SI6a3?n
899Z808Z96 LD:9L L607,/L0/90
.
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTYLEGAL: L a?' ?2 /3Io, ?%^z% ??Ol
C
J
DATE OF SURVEY:
?
J LATEST REVISION:
1-v
? DOCUMENT STANDARDS
v
L? ? ? R
t
i
d L
i
L? . eg
s
ere
and Surveyor s
gnature and company
ildi
B
P
?
? ? . u
ng
ermit Applicant
LA
? ? • Legal description
?
? ?
G . Address
N
th
• or
arcow and scale
? ? . House type (rambler, walkout, split w/o, split entry, lookout, etc.)
C1" ?
V ? • Directional drainage arrows with slope/gradient %
P
dl
? ? . ropose
existing sewer and water services & invert elevation
P/ ?
v ? . Street name
? ? . Driveway
W ?
?/ ? • Lot Square Footage
? ? . Lot Coverage
ELEVATIONS
/ Existina
? ? • Sewer service (or Proposed)
? ? . Property comers
?/? . Top of curb at the driveway and property line extensions
? ef ? • Elevations of any existing adjacent homes
V ?? • Adequate footing depth of structures due to adjacent utility trenches
Prooosed
[/ ? ? . Garage floor
? ? ? . First floor
? ? ? . Lowest exposed elevation (walkouUwindow)
L-?/ ? ? • Property comers
4y O? ? . Front and rear of home at the foundation
PONDING AREA (if applicable)
? ? . Easement line
Q ? ? . NWL
0 ? ? • HWL
24 o, ? . Pond # designation
? C7 ? • Emergency Overflow Elevation
DIMENSIONS
Gk? ? ? . Lot lines/Bearings & dimensions
I?/ o ? . Right-of-way and street width (to back of curb)
rY O? . Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
?/? ? • Show all easements of record and any City utilities within those easements
?0 ? . Setbacks of proposed structure and sideyard setback of adjacent existing structures
?? • Retaining wall requirements, if any Sna_ vti o4e ,.,
Reviewed: ?? X J % l. ! ." Z
Nam 1 Date
Site address: 3 U ? 3 A ly Eis w0c11'J ??<I Lot _ Block _ Subd.
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness; and ventilation, was adopted. As a result, the City of Eagan is requiring that the following rnformation be
submitted prior to issuance of a Certificate of Occupancy.
? This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
_ This structurec will be constructed to meet more resVictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL 8TU'S VENTINGTYPE
Water Heater 0 _
Furnace X a?K V'c
Dryer V1'1 `?T/1 --? N.CP'r`V 1U C n'1
1{'. .
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
rES No
Kitchen kitchen
Bathroom 1
Bathroom 2
Bathroom 3
Bathroom 4
Other
FIREPLACE S
LOCATION
GAS
WOOD
MANUfACTURER
MODEL
BTU'S VENT;ING
DIRECT ATMOS.
&vW, LfTAL.rY,? - o e7 _
/ ?o,4cl? .? ?v 7 = ? 0 O
Sna.-? fN?A - DD C? Tk' -oAi ?-3a
?' +-r ,
MAKE-UP AIR MQQEL TYPE CfM's-
U?.??:?- ? ..?al o ?,« la?
I hereby acknowledge that the above information is correct and agree to comply with lhe Minnesota Energy Code and City of Eagan
requirements.
t.lt7
u atre Date
Si
?Ki-?A?
CompanyName
" This form is the responsibility of the General Contractor.
JUN 15 RECI CERTIFICATE OF SURVEY
for
SKYfPA Y Q UALITY HOMES
0 Denotes Wood Stoke Set
Fw Excawtion Only
-? Denotes Surfoce Drainage
( ) Denotes Proposed Elevation
x Denotes Existing Elevation
8814 Top of Block Elevation
885.0 Corage F7oor E/erntlon
879.6 Lowest Floor Elevation
Tjpe of Bui7ding: A Wood Frome House
Benchmorlc: T.N.H. O NW Comer of Prooertv
Elevation = 888.84
ALL BU/LDlNG DlMfNS/ONS
AND FLOOR ELEVAT/ONS MUST
BE VER/f/ED BY BU/LDER.
House Tjpa = Full Basement Walkout
Address a 3813 Kingswood Troil
Sca/e: 1 " = 30'
Denotes 112 inch by 14 inch iron pipe
0 monument set, morked with a p/astic
cop inscnbed "RLS 25343'
? Denotes iron plpe monument found,
marked "RLS 177650, unless otherwise
shown.
fie orlentatJon of thls Beoring System
Is based upon the recorded p/at of
KINGSWOOD POlVOS SECOND ADD177ON.
Rifs House wos staked occording
to the fdlowina sotbacks:
20 Feet /rom Curb
10 Feet House
5 Feef Garoge
15 Faet Reor
LOf Squore FOOtOge = 25,757 S.F.
Housa Square Footoge = 2,360 S.F.
Lot Coweroge = 9.2X
RE10 ???
. ? ?
B.r_ E?Cl.,W.
?r.r ,•. „ „, :;.1, " .
? . , ..?4: •?.?:1 . t . r.? Y , . . ;1? k ., ._ .. . :
;s
Lot 2, Bloclr 1,
KWGSIPOOD PONDS SECOND ADDITION,
Dakots County, Minnesota.
M,
PILOT KNOB ROAD
C.S.A.H. N0. 31
-- RIGHT OF ACCESS
_Q Z'?DEDlCAQTL•"D TD DAKQOTA COUNTY Q_
L,eas.o S0079'O1 "E 95.15 x_eaL7 _
?
? \ un tr ao?rr -, $
KINGSWOOD ,`TRAIL
_ iSonftorv SsMx
--4
GLr6 f- .?.. ? 8e7.37 -
TELE I I
Top of Hub !0 f
Elev.s886.45 16.5:
I
--?
?
LO 10.?
?Serer SsrN ? ??1d
Inv.?877.0 N
? Psr Clty I ! ? Es I
9,66 j?
I
o?
I (9aro9o
I ? r
h
Proposed I y
Houss I Zy
? a
(879.6) 19
75
.
Poro ? I I +
"a 28 - f9.73
07.4 ` _12t_,o -en. (en t) .ia.i
?
E?
\
A O
i
. ?
? su
?
?
z
Rlm=H40.69 ?
?k
[
?
\
POND JP-5
NML=826.0
HWL=834.2
(Pond is oJf alte)
TO I Easemsat /L/" ant. i ? I
I .SIQ? ?e / ' 746 x873.7 873.9I
,y 1
6sI? w 1,reed?II?? ?
? ? I I
J I i
I
.siA.'f
I ; 1
20
?
• ? NOT40'1 ? T48.72 ? I
?
/ G? O? ? ? \ •
c? I
?. i
33.0
i ?
. 50
Top of Hub
Elev.-886.39
N
?
?
?
?
?
?
X872.3 Y
..
1
I I MIDWEST
Land Surveyors & Civil Engineers, Inc.
710 Eost River Road
Anoka, Mn. 553QJ
Ph. 763-772-9099 Fax: 763-712-9055
Job No. 01-177 Book-Page OCF Acad File 01-177
@2001 - Mldwest Land Surroyova 8 GM7 fnp/nevs Ina - Alf Rlphts Rsssrved.
l hrsby eerUfy thaf thb wnay, plon or report Nas praparsd by me or undr my dbect wpsnlsbn ond fhot I
om o du/y Uronaed Land Sur`eyvr undx ths /ana of ths Stote of Mlnneaoto.
ond
No certi/lcoHan »lrataoe`ar la sxtendsd to wbasqusnt oMrras, mortyoyesa ar NNs hauron, un/esa thls aurwy
Aoa bssn rrCated fur fhM purpose by Ms sune>or.
Oatsd th/a 24th doy o/ Mor , 2001
By s- " Rsylstrot/on Na 2534;
Ja £. Napfx -!Mnsaoto Ucsnaed lcnd Surrr,pvr
AabuAt Dated thls day oI . 10
?tuiSer
4
?z g1
RESIDENTIAL
BUILDING PERMIT APPLICATION
cmr oF EAcAN
I?. 3830 PILOT KNOB RD - 55122
??- H5131' 40' 31
? P -ys733 70-50
11113h'6Gq DonaS )nd AaJ , 651-681-4675 PD - qc73?
f 7
New ConaWdion RequiremeMa
• 3 registered site surveys showing sq. ft. of lot, sq. ft. o( house; and all rooted areas
(20°k maximum lot coverage allowed)
• 2 wpies of plan showing beam 8 window s¢es; poured found design, etc.)
• 1 set of Energy Calculalions
• 3 copies of Tree PreservaGon Plan 'rf lot platted after 7/1/93
• Rim Joist Detail Oplions selection sheet (bldgs with 3 or less units)
DATE 'U C ?!? ? ? 0 1
JOB SITE ADDRESS ZaT o2 ,BLoG/? .:
IF MUL
PROPERTY OWNER 5?IW4?' QUAG/
liHy
11701
RemodaNteoair Reauirements
. 2 copies of plan
• 1 set of Energy Calculations for heated addiGons ?
• 1 site survey for exterior additions & decks
• Indicate if home served 6y sepGc system foradditions
VALUATION
= rt %r.1oa n Po.v
/f0'07;e s .??/C,
C;?
!U•5Q
5oV. 3(
Cal??d 6-1?-0?
?3m
TYPE OF WORK Nzw 1719mjE- FIREPLAGE(S) _ 0_ 1;Z2
APPLICANT -SKi'k1,4Y aU41-172' 17'etwF-S PHONE# ??3- 7gy-sy6y
ADDRESS ?U,9!!??ff?C! fi 14 17 57; /U ? • S?R?R/?'i Lk ?i?! ZIP CODE SS`?.3 2--
PAGER # CELL PHONE #601a -4 F A X #
NIEY RESIDENTIAL BUILDING ONLY - FILL OUT COMPL
Energy Code Category ? MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Sub ' d D
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672 BY?
New Energy Code Worksheet Submitted
Plumbtng Contractor: 141ALS14 PlUiwB?vt-4' Phone #: 74-3-?g
Plumbing System Includes: Water Softener Lawn Spcinkler Fee: $90.00
? Water Heater ? No. of R.I. Baths
o?- No. of Baths
Mechanicat Contracfor: LV'j LS N 101-Vyri (3 i rUC
Mechanical System Includes: ? Air Conditioning
_ Heat Recovery System
Sewer/Water Contractor:
ay('l/
Phone # 7? 3 ' 78"/ ' ? / 5?6
Fee: $70.00
Haf f lNl -?
TM Phone #
All above information must be submitted prior to processing of applicaUon.
I hereby acknowledge that I have read this application, state that information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Ea n Or ina S.
Slgnature of Applic nt '
Certificates of Survey Received ? Tree Preservation Plan ceived _ Not Required y- Updated 1101
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
'PD02 SF Dwelling O 08 06-plex 0 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (screened)
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
v f
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
p 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 AddiUon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to appiicant
Valuation ?,?? Occupancy MGES System
Census Code l0 ( Zoning JC` 4 City Water
SAC Units e /? Stories / Booster Pump
Nbr. of Units tl_ Sq. Ft. ? PRV
Nbr. of Bldgs
? Length .-2 5 Fire Sprinklered
Type of Const Width _7R,
REQUIRED INSPECTIONS
X0 Footings (new bldg)
_ FinaUC.O.
Footings (deck) FinaUNo C.O.
Footings (addition) Plumbing
? Foundation HVAC
Drain Tile
Roof Ice & Water Final
X Framing
Fireplace R.I. Air Test Final
? Insulation
Approved By v?l , Building Inspector
e
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plutnbing Permit
Mechartical Permit
License Search
Copies
Other ?
Total
_ --?-
?
?
Other
_ Pool Ftgs Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
1 71Q ?C lS ` ;2 l lp SQ ?_?
L-
941 3?'a -
?_ #k-
S??K m -
°.ac,tQ.?E.tJ e?D 2.C;1?
a?ox3Y
Use BLUE or BLACKr
For Office Use
Permit#:_/‘--/ * ::/' _
*t' City of Eakan r—
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122
Date Received:
Phone:(651)675-5675
buildinginspectionspLitypfeagan.con„. Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: ?-1-.Q0\S 0 & C"
Unit#:
- ,
\N\C\ )\\ (4\ zeiS
Name: 6.1\• Phone:
Resident/
I
Owner Address/City/Zip: \ L.) \NN(\ -;1/4 , V1/4Ys. ‘..1\\‘\.)
Applicant is: Owner Contractor
Type of Work Description of work: C&\\C
i• Construction Cost \\:\\\\-\ . 11,1) -
;
Multi-Family Building:(Yes /No )
Company:(SkrAk \fic ois *s'.'3. ot-A,..\\-4.,().01\4\--- Contact:
• •
I
Contractor
Address: C"a\tr• City: .\. 1-11,3\,
-r• e
State: r\t,-.1 Zip: SINzto Phone: ( 0-3(69)- Email: p \tcc (boi
License#: 3 :-)-71 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
information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they
are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on
the City's website at www,cityofeagan,comIsubscEibe.
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.
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. ("7
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 approve of plans.
x Q
x //Pa,-
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA174922
Date Issued:03/01/2022
Permit Category:ePermit
Site Address: 3813 Kingswood Tr
Lot:2 Block: 1 Addition: Kingswood Ponds 2nd
PID:10-42051-01-020
Use:
Description:
Sub Type:Furnace & Air Conditioner
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Dorothy M & John C Demma
3813 Kingswood Trl
Eagan MN 55122--382
Hero Plumbing Heating & Cooling Inc
10900 Hampshire Ave S
Minneapolis MN 55438
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature