1184 Kinglet CtPERMIT
City of Eagan Permit Type:Building
Permit Number:EA128630
Date Issued:11/25/2014
Permit Category:ePermit
Site Address: 1184 Kinglet Ct
Lot:2 Block: 2 Addition: St Francis Wood
PID:10-65900-02-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Anne Whaley Phillips
1184 Kinglet Ct
Eagan MN 55123
Apex Energy Solutions
1509 Southcross Drive West
Burnsville MN 55306
(651) 688-2739
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Office Use
I I
City of Ea Permit$-"~ ~Ed~
I ,
3830 Pilot Knob Road i Permit Fee:.
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 j
Fax: (651) 675-5694 I Staff:
L-----------------I
2010 MECHANICALj PERM' IT APPLICATION
Date: /U Site Address: 'QU fAJ l C.OCJQ
Tenant: Suite
RESIDENT / OWNER Name: Phone:
Address / City / Zip:
CONTRACTOR Name: TA at ~4N Ai R v l License
1i I
Address: Ig-j fit. AIL-J, City: Elk 2iyk
State: &,A/ Zip: S-~ 0 Phone: !D~ )_81 7W
Contact: _TVHA/ 6F)RRAV,4 Email: 7OkA.) b01 P-AY } 0 t4fAl, (041
TYPE OF WORK New Replacement Additional Alteration Demolition
Description of work: M;a - Li 1'ft LA
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under / Above ground Tank Install / _ Remove)
" When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ x1%
$55.00 Minimum (includes State Surcharge)
Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge
(i.e. a $10,010411,010 Permit Fee requires a $ 5.50 surcharge)
TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
xOl~ x - -
Applicant's Printed Name App ant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough In -Air Test -Gas Service Test -In-floor Heat -Final
Exterior HVAC Screening Inspection
1 Use BLUE or BLACK Ink
I For Office Use 1
j Permit
City of Eajan I
I Permit Fee. -X,
3830 Pilot Knob Road I I
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675 t I
Fax: (651) 675-5694 i staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: T -11
1 S `
Tenant: Suite
RESIDENT I OWNER Name: c•.: At-, rs . • 1 Phone: - I_C,,~~V~- ~ f
Address / City / Zip: Y Lf' -I
Applicant is: Owner Contractor
TYPE OF WORK Description of work: ~x ay G' C`! ` rte l~ r-~Q
Construction Cos ~ 0 y Multi-Family Building: (Yes / No
CONTRACTOR Name: "k 16 U At y r\Q- License D C~J S 6:~> 1~76'
Address: C3G n City:
01
State:' ` Zip: GJ 5 Phone:
Contact: tf\ ~ Email: -,.I% !Y\ . ► ~o ~ t t L-
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: D - Phone:
Mechanical Contractor: 'ILIN 2010 Phone:
Sewer & Water 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 the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.oEg
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and code 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 th rk will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name cant's Signature
Page 1 of 2
DO NOT WRITE BELOW THIS LINE "IU
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family Garage Porch (4-Season) _ Exterior Alteration (Single Family)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of _ Plex _ Lower Level _ Pool Miscellaneous
Accessory Building
WORK TYPES
_ New _ Interior Improvement ` Siding Demolish Building*
Addition Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy L~jtj MCES System
Plan Review Code Edition MAZaAZo7 SAC Units
(25%_ 100% ) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width l
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Y, Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -ice & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wail: _ Footings _ Backfill Final
Meter Size: Radon Control
Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee r~
Surcharge V~ 3 ~0 x S~ co
Plan Review
MCES SAC q
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
~ti
Copies~ 1
TOTAL
Page 2 of 2
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CITY OF EAGAN
3795 Pilot Knob Roed Eagan, MN 55122 N2 6185
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date 19
Site Address Erect ? Occupancy
Lot Block Sec/Sub. Alter ? Zoning
Repair ? Fire Zone
Parcel #
E
l T
f C
n
arge ? ype o
onst.
W Name move ? # Stories
Z
3 Addres s Demolish ? Front ft.
° City Phone Grade ? Depth ft.
p Approvals Fees
Name
u' Address Assessment
1, CI Phone Water & Sew.
Police
2w Name
Fw Fire
ua Address Eng.
<W city Phone Planner
Council
I hereby acknowledge that 1 have read this application and state that Bldg. Off.
the information is correct and agree to comply with all applicable APC
State of Minnesota Statutes and City of Eagan Ordinances.
Permit
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Road Unit
Total
Signature of Permittee
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Pen%* # Date Issued hndMee
Plumbing -
nical
Mec o cl _ - v r r
` y
T
INSPECTIONS DATE INSP.
Rough-In
Final
Footings ? ? e?
C? Date Insp. Dqte Insp.
Foundation
Frame/ins.
1A _ Plumbing
Mechanical /
Final
Remarks: ! z ???/ ?K 1???i0 rl7G I OILS
AoeJer d e.tr Ivor"-s
R^w dAimpa
w/,f&%- v-,f Z 1r4%p pears
Jlvc,K A-00 V pr
M? o.t ?w9 I nS v/??N ?o?
CITY OF EAGAN i 6668
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for BASEMVi•T Est. Value S 1 +';00 Date JXXi 19
19??
Site Address 1184 KINGLET CT
Lot 7 Block 2 Sec/Sub. ST FRANCIS 1'00 OFFICE USE ONLY
Parcel No. Occupancy FEES
Zoning
W Name .- tiV T; L':VT;IiLY twt:iTAliOUSE (Actual) Const Bldg. Permit 3b.00
Address 11P4 K'-A't;tE1 CT (Allowable) h
S •
o arge
urc
City EAX;AAX Phone 454-0215 # of Stories
Plan Review
Length
01 Name DAN JESVI;SS BUILDERS Depth City
SAC
;k ,
011 Address 3561 WIVA1014 WAY S.F. Total
U- SAC. MCWCC
City LAW Phone 494-3056 S.F. Footprints
Water Conn
On Site Sewage
W Name On Site Well Water Meter
x? Address MWCC System
aw City Phone City Water Acct. Deposit
S/W Pe
mit
PRV Required r
I hereby acknowlege that I have read this application and state that the Booster Pump SM Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature of Permitee APPROVALS Road Unit
A Building Permit is issued to: UANI XCS14r.0"S BU11j'Eys Planner Park Ded.
on the express condition that all work shall be done in accordance with all Council - 5C
'
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies
Building Official i Variance TOTAL 3' ' Sr
Permit No. Permit Holder Date Telephone #
yYATER
SEWER
PLUMBING
G '!? :? ?..
lrh G
"/x /I
H.V.A.C.
ELECTRIC
Inspw lon Date Insp. Comments
FootingsI
Foundation
Framing
Roofing
Rough Pibg. 61G ??/
Rough Htg. O S
Isul. f $ $
Fireplace
Final Htg.
Final Plbg.
Coot. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final CV a 67 J o - - 2
Deck Ftg.
Deck Final
Well
Pr. Disp.
INSPECTION RECORD ?b
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
ior: ttlnrK
?; r IN6LF ( [ I r rs +++sI IAI11 ;rl r4 IIF t 1N6
ST f RAN( 1 WOOD (611j 132:3-44096
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR.
. . YJ1.
J
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL A47 AM
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN Remarks
Addition ST. FRANCIS WOOD Lot
Owner Street 1184 K
2 Parcel 10 65900 020 02
inglet Court State Eagan MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, n
STREET RESTORIMp, 1981 75.00 15.00 5 75.00 MUST3
10/15/80
GRADING
*SAN SEW TRUNK 31 1980 3658.57 243.90 15 3414.67 A009399 9/5/80
*SEWER LATERAL 1990 _1;
WATERMAIN
*WATER LATERAL
*WATER AREA
.Prvire
*STORM SEW TRK
*STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Rrj_ IINTT 185 00 20954 9 17 /R()
WATER CONN.
BUILDING PER. f .,j
SAC S2S 00 909-54 9L17/80
PARK
CITY OF EAGAN
3795 pilot Knob Rood
Eagan, MN 55122
Zoning:
Owner:
Address:
Site Address:
Plumber:
I agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Date of Insp.: Total:
Insp.: D
P
t
id
e
a
a
:
CITY OF EAGAN WATER SERVICE PERMIT
375 5 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner: _
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Rv
Date of Insp.:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
Total:
Date Paid:
w,bi ? ?
To Be Used For!5hS
CITY OF EAGAN
Include 2 sets of plans,
1 site plan, /elevations-_&
1 set of energy calculations.
Date
Site Address OFFICE' USE ONLY
Lot Block Z Sec./Sub. ect Occupancy 3
Parcel #: , 11lter Zoning l _
Repair Fire Zone
3
Owner: L %C ( iGl ?U Enlarge _ Type of Const. 1
Address: e Move
Demolish # Stories
Front 6 ft.
City/Zip Code: L CZ? 2 > _
Grade Depth ?6 ft.
Phone #- ?2-S 2
APPROVALS FEES
Contractor: ???1L' y' [? cJ/l Assessments
Z,IL Permit
.
Address:
City/Zip Code:
Phone #: ;.
Phone #: ?dater/Sewer
Arch./Eng.:
Address:
City/Zip Code:
s
Police
Fire
Eng.
Planner _
Council
Bldg. Off.
APC
Surcharge _
Plan Check
SAC
Water Conn.
Water Meter
Road Unit
'DOTAL J 3`I 6 -0 0
Z'77? `3y
FA,? . 70 ° Q
?? 6
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55121 N4 6185
PHONE: 454.8700 - `
?
BUILDING PERMIT APPLICATION Receipt # U
U ?S ?f
To be ased for SF DWG/GAR Est. Value 81,000 Dote 9-17 iq 80
Site Address 1184 Kinglet Court Erect X8 Occupancy R3
Lot 2 Block 2 Sec/Sub. St. FranciS WoodS Alter ? Zoning Rl
10 65900 020 02 Repair ? Fire Zone 3
Parcel #
l
E of Con
T
t V
n
arge ? ype
s
.
z Name T)avi d & T)i ana HQgLP Move ? # Stories
3 Address 1184 Kinglet Ct. Demolish ? Front 66 ft.
city Eagan, Mn Phone 452-5279 Grode ? Depth 26 ft.
p
ou Name
P. 0. Box 158 Assessm4it C
? Address
?
city Wells Mn. 5609r{j one 507-553-3103 Water & Sew.
Police
Ww Name RAMP As ecrntrnatnr Fire
rZ
ma
Address
Eng.
aw City Phone Planner
Council _
I hereby acknowledge that I have read this application and state that Bldg. Off.
the information is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. A Home of Your Oum Approvals Fees
APC
Permit 100 .UU
Surcharge 40.50
Plan check 93.50
SAC 525.00
Water Conn. 305.00
Water Meter 60.00
Road Unit 185.00
Total 1,396.00
Signature of Permittee I
A Building Permit Is issued to: d Homc? Of `rip-Q,,.P on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
CITY OF EAGAN ND 16668
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 n
BUILDING PERMIT Receipt # l-
To be used for BASEMENT Est. Value $1,500 Date JUNE 19 1 gB9-
Site Address 1184 KINGLET CT
Lot 2 Block 2 Sec/Sub. ST FRANCIS WOOD OFFICE USE ONLY
Parcel No. Occupancy FEES
Zoning
M Name DAVID & BEVERLY WHITEHOUSE (Actual) Const Bldg Permit 36.00
Address 1184 KINGLET CT (Allowable)
S
h 1.00
o EAGAN
City Phone 454-0215
x of Stories urc
arge
Plan Review
Length
o Name DAN JESNESS BUILDERS Depth SAC
City
83 Address 3561 WIDGEON WAY S.F. Total ,
-
SAC, Mcwcc
City EAGAN Phone 454-3858 S F Footprints
Water Conn
On Site Sewage
$w Name On Site Well Water Meter
3 Address MWCC System
'0
aw
City Phone
City Water Acct Deposit
SPIN Permit
PRV Required
I hereby acknowlege that I have read this application and state that the Booster Pump SAN Surcharge
information is correct and agree mply wit all applicable State of
Minnesota Statutes and Clty of gan remain, Treatment PI
Signature of Permitee APPROVALS Road Unit
16-7 A Building Permit is issued to: DAN SNESS BUILDERS Planner Park Dad.
on the express condition that all work shall be done in accordance with all Council -- 5o
applicable State of Minnesota Statutes and City of Eagan Ordinances Bldg. Off Copies .
,}r`PIAI?11
Building Official {
Variance
TOTAL
37.50
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
??5 a 14 ?1 City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 9 651-675-5694
-'s t?3 ?s,
Q_ 'j,"D 3 - a ?S
New Construction Reomrements RemodellRemir Reawrements Cfte ()so On
3 registered site surveys showing sq h of lot, sq ft of house, and all roofed areas 2 copies of plan Ced of Survey Recd _Y _N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres flan Recd _Y _N
2 copies of plan showing beam &window sizes, poured found design, etc 1 site survey for additions & decks Tree Pres Required Y N
I set of Energy Calculations AddiRion - indicate if on-site septic system O"Its septic system -Y _N
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Date / / Q?
Construction Cost 22
? -
c?j l
Si
Add
l
1 Y 1
it/St
#
U
te
ress
l
f n
e
Description of Work ZZO&1.e.. S7rdrVU ?i Gc i f 17,U & y}7 £vl't~ ?14vr? I 6?-0
Multi-Family Bldg _ Y L--N" Fireplace(s) , 0 - 1 _ 2
/'ifit * C
O
4" /)`E A
P
t
e)LV? / p r?
hone #(6.Q) 6ye-017
Tele
roper
y
wner
.. p
R '
Contractor
C 7
VU
O
N dY?1
r
/
{
Address 1U^] T N LhP+41 /
S / £
M /,-J 6 -7-t ?J
City Um
State !rl N IoL?,67-A Zip 5'-f 2,0 G
Telephone #fl"Q-) Y9
g /ae r a 1 oS
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category I _ Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
N If so, 25% plan review
Telephone #( )
Telephone #( r.)
23
Telephone #( I
I )
I hereby apply for a Residential Building Permit and acknowledge that the information is comple e*<nd acc rate;
that the work will be in conformance with the ordinances and codes of the City of-Eagan-an 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 plan in the case of work which requires a review and
approval of plans.
Applicant's Printed Name
Appl' an s Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea )
? 03 01of_plex ? 09 07-plex ? 17 Garage X 22 Porch/Addn.(4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types ` J
004-)% U Or mzpm 60 eA
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44
A 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46
? 34 Replacement 'Demolition (Entire Bldg) -Gi ve PCA handout to applicant
s
Valuation Occupancy MCES System _
Census Code Zoning City Water _
SAC Units Stories Booster Pump -
# of Units Sq. Ft. PRV _
# of Bldgs Length Fire Sprinklered -
Type of Const Width
Footings (new bldg)
Footings (deck)
Footings (addition)
_ Foundation
_ Drain Tile
Roof _ Ice& Water _ Final
Framing
Fireplace _ R.I. -Air Test -Final
Insulation
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - S F
? 36 Multi Misc.
Siding
Fire Repair
Windows/Doors
REQUIRED INSPECTIONS
Final/C.0.
_ Final/No C.O.
Plumbing
_ HVAC
Other
- Pool _ Ftgs _ Air/Gas Tests _ Final
- Siding _ Stucco _ Stone - Brick
Windows
Retaining Wall
Approved By: Z- Building Inspector
--------------------------------------------------------------------
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
jo G{ 0 n.vwti,
214PCA0
-----'----- r
y1y kV
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued
(612) 681-4675
BUILDING
026867
12/13/95
SITE ADDRESS: P.I.N.: 10-65900-020-02
LOT: 2 BLOCK:
1184 KINGLET CT
ST FRANCIS WOOD
2 APPLICANT:
SELA ROOFING & REMODELING
(612) 823-8046
PERMIT SUBTYPE: TYPE OF WORK:
SF (MISC.) REPAIR
DESCRIPTION (ROOFING)
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
5zo ego FO
BUILDING
026867
12/13/95
SITE ADDRESS:
1184 KINGLET CT
LOT: 2 BLOCK: 2
ST FRANCIS WOOD
P.I.N.: 10--65900-020-02
DESCRIPTION:
„F (ROOFING)
9641dirl Permit Type
uild'ing -W'q.,k Type
Census -t6de
_ :ue qua '21
53. v 6d Y{ ? W??`
?"}` ? af'd ^y yFp tA.irv,"{aw-.5i.
SF (MISC.)
REPAIR
0434 ALT. RESIDENTIAL
net
L, 1 iP uA i g{tt4?p j3 s(.?1 .`W ' T,
H P W' . i' z-
?' Y a.?4c xlp 3, ag.::''% {3 'k?
REMARKS:
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Total Fee
$87.25
$2.00
$89.25
$4,000
CONTRACTOR: - Applicant - ST. LIC OWNER:
SELA ROOFING & REMODELING 18238046 0001050 FIEDLER ANNE
4100 EXCELSIOR BLVD 1184 KINGLET CT
ST LOUIS PARK MN 55416 EAGAN MN 55123
(612) 823-8046 (612)688-8474
I her.e.by aCkridwled.ge;:tFia.k``I ye",r-ead this; applic`titon:an;d s'tat'e that the, irfforma'tio:n 1,s -,oirect„a'rid a res to ?cpmp1'q, ,W:i_th all ap Ii-ohie, S>Ka?,te-o Dine-
Statutes arTd City' of =Eagauw: Or'dinan-ces'.
e
APPLICANT/PERMITEE SIGNATURE
&a of
ISSUED Ell. SIGNATURE!
CITY OF EAGAN'. x.:
3830 PILOT KNOB RD - 55122
ILI J
(0011995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation plan if lot platted after 7/1/93
required: _Yes _ No
DATE: ) of 11314 `l CONSTRUCTION COST:T
DESCRIPTION OF WORT
STREET ADDRESS:
LOT - BLOCK SUBD./P.I.D. #: J ? uy T.UG'b!X
????LC2 kez?
E4 /7?
PROPERTY Name: Phone M
OWNER
Street Address- //Cf `/ F"b'
!??'yG C r
City: (r-IW State: Zip: 23
CONTRACTOR Company: p
Phone #: Z?2-?o y6
Street Address: y/d o &7)(C&L-Si4/10 &License #: 1-2-5-6
City: 5r Goal S State: A 4) Zip- L &!5?
ARCHITECT/ Company: Phone #:
ENGINEER
Name: Registration #,
Street Address*
City: State: Zip:
Sewer & water licensed plumber.
change are requested once permit is issued.
Penalty applies when address change and lot
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:
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
No
Yes
No
Yes
Qpw
OFFICE USE ONLY 'x # ?k
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _-plex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC1bY'S SAG
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SM/ Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft,
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Valuation: $
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
% SAC
SAC Units
1989 BUILDING PERMIT APPLICATION
CITY OF EAGAN
1(G61
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
REGISTERED SITE SURVEYS
SET OF ENERGY CALCS.
MULTIPLE DWELLINGS
2 SETS OF PLANS
REGISTERED SITE SURVEYS -
(CHECS WITH BLDG DIV.)
1 SET OF ENERGY CALCS.
ON 12 1988
i
COMMERCIAL
2 SETS OF ARCHITECTURAL
! STRUCTURAL PLANS
1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCS.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS I OF UNITS
NOTEt ADDRESSES FOR CORNER LOTS - CONTRACTOR/ROMEOWNER !LUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED..
SEWER 8 WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING
PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS
BEEN COMPLETED INDICATING A LICENSED PLUMBER.
PENALTY APPLIES WHENt
To Be Used For: QS`"f
PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
.? /moo 0
Valuation Dates
Site Address // 9.4 Af, hzl, /elz o
Lot k Block i'
Parcel/Sub
Owner P,?/, H ?i f
Address rr
City/Zip>CCode 'e?-a ay *7 ?i
Phone yy11I?/S /r
Contractor NOar J??e "i e-r5 ?
Address{//>6elvly i6?r?
?
City/Zip Code zg?g &",7
Phone
Arch./Engr. Qyi?i?4
Address eg-a .1, 4vr R A99 4if
City/Zip Code
Occupancy
Zoning
Actual Const
Allowable
! of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage
On site well
MWCC System
City water _
PRY required _
Booster Pump
APPROVALS
Planner
Council
Bldg. Off.
Variance
.C? 114
FEES
Bldg. Permit 64
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acet. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Copies so
SUBTOTAL
Penalty
TOTAL ?? S 0
Phone 3
I . .
Determine working square footage of each.
1. Total exposed wall area ..... 2767.12 sq. ft. x .17 = ( ? rJ
2. Total roof/ceiling area ...... 1092 sq. ft. x .05 = 546
EXTERIOR ENVELOPE AVERAGE "U" COidPUTATIOid
014NER David Hogue
SITE ADDRESS Egan, Minnesota
CONTRACTOR DATE PHONE
Total exposed wall area above floor
a. Total wall window area ........................... 235.31
L. TO I door ar .. ........................... 37.32
f.,lu, ?.,,,ea .
c. To Lai sliding glass door area ................... 78 _
d. Total fireplace vrall area....... ........... 40
e. Total wall framing area (average 10%'),,.',......,. 194.29
f. Total net wall area above floor ................ 1748.58
g. Total rim joist area ............................ 272
Total exposed foundation area = 161.12
h. Total foundation window area..... .............
i. Toal 'net foundation area above grade ............ `161.12
Determine "U" ?value of each wall segment.
a 235.31 X 'lu l 275 64.71
b. 37.82 X Hu« .213 - 8.06
C. 78. X oull .365 28.47
d. 40 y I ui, .58 _ 23.2
e 194.29 X utl .09 = 17.49
f. 1748.58 X "U" .056 = 97.92
g. 272 X "U" 307 83.50 y
h. X "u" _
i 161.12 X ,+ul, .488 _ 78.63 ii
3 .....................................Totr:l = ( 401.98 _s
If item 1!3 iS the say:?. aS, or less than item I`I you have met the invent
of SBC 6006(c)2. 1
Total exposed roof/ceiling area =
Total gross roof'/ceiling area = 1092
j. Total Aylight area ... ... s ..............
k. Total roof/ceiling framing area ............ 109.2
1. Total net insulated roof/ceiling area....... 982.8
Determi.ne "U" value for each roof/ceiling segment.
j X "u" -
k. 109.2 X IU .036 M 3.93
1 982.8 X [lull .025 w 24.57
4 ..................................Total - _2s.s
?f total of #4 is the same as, or less than #2, you have met the intent of
SBC 6000'{c}1.
To utilized the total envelope system method, the values established by the
sum of items #3 and 454 shall not be greater than the sum of items #1 and #2.
1. 470.41 + 2. 54.6 = 525.01
1
3. 401.98 + 4. 28.5 = 430.48
J' ??
?Ci ??
?n
dC
?.....?. . :M 9.t
Yj(.°:??,y::11`;;:K'n.RSCnI,:ti"/,`m::,..i<?n' Y:3.'f °daY ?t"?;r'4< ?;%; d I
MY OF L'-"RM,
JS Nor 608
IDS
''.' , Pc ,.
2217 `'1! '? '•':'t x'
4
raw Receipt Amounn: 07 07
Cy : L7`26
lyl?lER W: XMa f
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3?oO? 3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reauhemenh Remodel/Reoair Requirements
D 3 registered site surveys showing sq. k. of lot, sq. ft. of house
and gll roofed areas (20% maximum tot coverage allowed)
? 2 copies of plans (show beam a window sixes; poured Ind. design; etc.)
D 1 set of energy calculations
? 3 copies of free pfeservation plan 0lot platted after 7/1/93
DATE: 7liz-a?
DESCRIPTION OF WORK:
STREET ADDRESS:
2 copies of plan
i set of energy calculations for healed additions
1 she survey for extedor additions & decks
CONSTRUCTION COST: ?tCJ44(JC
LOT: D--- BLOCK: ?- SUBD./P.I.D. #: S\?0.1n c A A ?/.?60 N
Name: 1-4?-(A `-f- r C- "d? Phone #:
PROPERTY Last First
OWNER
Street Address:
City State:
rn ?-
zip: -D l2-3
Company: S'4 (U eS 6e ?o ?.s ?ruc i . a ti Phone #: 6 /L Vpl - O t &
(area code)
CONTRACTOR
Street Address: ] g - s C s . Ucense # HZ& Exp. 12 l
city State: PAI zlp:'53Jzs
ARCHITECT/
ENGINEER Company Name:
Telephone #: area code ( )
Sheet Address: Registration #:
City State: Zip:
Sewer L water licensed plumber (reaufred for new construction only :
Penally applies when address change and lot change Is requested once permit is Issued.
I hereby acknowledge that I have read this application, state that the Information Is correct, and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
Yes No
Yes No
?< Not Required
SEP 2 4
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex 0 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool kI25 Miscellaneous
WORK TYPE
? 31 New ? 35
2 Addition ? 36
3
V3 Alteration ? 37
,
? 34 Repair ? 38
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building 6,6-,
Census Code 4y
SAC Code v I
No. of Units
No. of Bldgs U
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
Permit Fee 1r; -
Surcharge
Plan Review
License
MC/ES SAC ,
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Park Ded.
Trails Ded.
Other
Copies
Total: J5??
Valuation:
SAC Units
'% SAC
At
\ ? ? 0
,7d G4, /?,
'7Z--
J Ael '
/-4D
?'
Cities Digital Quality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
r' .
city of cagan
THOMAS EGAN
Mayor
PATRICIA AWADA
SHAWN HUNTER
SANDRA A MASIN
THEODORE WACHTER
Council Memberv
March 30, 1994
TO: B.E. Whitehouse
1184 Kinglet Ct
Eagan, MN 55122
RE: 1993 FALSE ALARMS
THOMAS HEDGES
City Administrator
E. J. VAN OVERSEKE
City Clerk
The false alarm program allows for three false alarms without
charge during the calendar year. Our records indicate the
following false alarms were attributed to you in 1993:
Payment has not been received for false alarm no.(s)
{ $75 x?_= S S
City ordinance calls for delinquent payments,
along with a 10% penalty, in the amount of
to be certified to the county for assessments
against the property of the delinquent alarm
user.
To avoid placement of these fines on the
assessment roll, please remit payment of
by April 29, 1994.
Sincerely,
i)
ElizAeth Witt
Administrative Assistant
EW/tz
S %, r?
S 8,r', 5 G
MUNICIPAL CENTER
3830 PILOT KNOB ROAD
EAGAN. MINNESOTA 551221897
PHONE: (612) 681-4600
FAX: (612) 6814612
TDD: (612) 4540535
THE LONE OAK TREE
THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY
Equal Opportunity/ Affirmative Action Employer
MAINTENANCE FACILITY
3501 COACHMAN POINT
EAGAN. MINNESOTA 551"
PHONE: (612) 681 4300
FAX: (612) 681-4360
TDO:(612) 454.8535
DATE: 8/5/93
TO: WHITEHOUSE RESIDENCE
name
1184 RINGLET CT
address
EAGAN, MN 55122
RE: False alarm at following Eagan location:
1184 KINGLET CT.
City records indicate that you have exceeded the three false alarms allowed without
penalty in a calendar year. On the following dates a false alarm was recorded by the
Eagan Police Department:
False Alarm Number Date & Time
4 7/5/93 0233 HOURS
The fine amount for false alarms is $75 per alarm. Your fine amount:
$75 x 1 (number of false alarms) _ $ 75 due.
Please make check payable to the CITY OF EAGAN and mail to Eagan Municipal Center,
3830 Pilot Knob Road, Eagan, MN 55122-1897.
Payment made after 9/7/93 will be subject to a 10% penalty. H not paid,
delinquent charges and penalties shall be certified to the County Auditor for collection as
an assessment against the property.
Sincerely,
???aow0
EJ Van Overbeke
City Clerk
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements Remodel/Repair Requirements Office Use Only
3 registered site surveys showing sq. fl. of lot, sq. fl. of house; and all roofed areas 2 copies of plan Ced of Survey Recd _Y _N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Reod
_
_Y _N
2 copies of plan showing beam & window saes; poured found design, etc. 1 site survey for additions & decks Tree Pies Required _Y _N
1 set of Energy Calculations Addfftm - indicate if on-site septic system On-site Septic System _Y _N
3 copies of Tree Preservation Plan Blot platted after 7M193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Date I / I -1 / d
Site Address / l e /
Construction Cost 55 co
Unit/Ste #
Description of Work +kiS%?- G? ?L?J
Multi-Family Bldg _ Y IN Fireplace(s) - 0 A I - 2
/ ) > 1, > y
Property Owner /V ? bLt?J.-?.? Telephone # (6-Q)
!?..
Fireside Hearth&Home
Contractor 14399 Huntington Avenue
Address Savage, MN 55378
State _ 952 736.7761
License 420512060
City
- Telephone # (
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
- Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a 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 work which requires a review and
approval of plans.
f `? r?,I A) c
30 v trV lrJ
Applicant's Printed Name Appli ant's Signatur
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 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bldg) -Gi ve PCA handout to applicant
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
- Footings (new bldg)
Footings (deck)
Footings (addition)
_ Foundation
_ Drain Tile
Roof _ Ice & Water _ Final
- Framing
Fireplace _ R.I. -Air Test -Final
Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
_ Final/C.O.
_ Final/No C.O.
Plumbing
_ IIVAC
Other
- Pool _ Figs _ Air/Gas Tests _ Final
- Siding _ Stucco - Stone - Brick
Windows
Retaining Wall
Building Inspector
City of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
--------------,
For Office Use I
I Permit N: qg/R7
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Permit Fee: ? V • 'Sn I
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I Date Received: ry O` r? I
Staff:
-----------------
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: "ICIDI Site Address: 1199 Tenant:
Suite #:
RESIDENT /OWNER Name: ?? A I t3Ll ?t,(( _l C Phone: J ` l
Address/City/Zip:
CONTRACTOR Name: ?i e se a:
Address:
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tate:
City: 7?
Phone: rr.?c -jj P 'Lll ', Contact Person:
TYPE OF WORK _ New 4 Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Y Water Softener
- Lawn Irrigation -Add Plumbing Fixtures
I RPZ/_PVB) (_ Main_ Lower Level)
• Septic System _ Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES=
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $.50 State Surcharge)
'Water Turnaround (add $165.00 if a 5/6" meter is required)
$100.50 Septic System New ($10-00 per as built) (includes County fee and $50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $50 State Surcharge) 5V
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E
TOTAL FE
S $
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
acc rdance with the approved plan in the case of work which requires a review and approval of plans. t
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-in Air Test _Gas Test -Final
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Use BLUE or BLACK Ink
For Office Use
::::e:
City of Eaaa (19
41/`° Il
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651)675-5675
Fax: (651)675-5694 Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1i -ice/- /h Site Address: 1/KY ':n9/e4- C7L Unit#:
Name: Avine_ P1r„t\,eS Phone: CS-7 -,R14)- t, 33
Reside :
Owner44' Address/City/Zip: 1$4 � . a.,. Mn) 1a-3
Applicant is: Owner X Contractor
of Work, y
Description of work: -'y- - c. t�
Construction Cost: /01.�bo" Multi-Family Building:(Yes /NoX,_)
, �1 � 011 K-ard7
Company: V),r 64- ct4- Ss u-vcre. Contact: /l!L 'T�'
tr�
dorAddress: lbto-ito Mc4,44-rc-`l.t L,.. ,J City: /1,1 c f k v,1---
rx
State:M1y3 Zip: S.S2b'1 Phone: 7(03 X43 -a.' 2`/Emaii: Irbec4•in2Q Loa L,S
License#: S(o S c-IgS Lead Certificate#: S O$3 g - a
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:
NATE l�ans
az ®lrmatrn � y 4 t�'v.. sub r f are b
ar ? F�
roanaocumermt e lassrfiedrrpublic if ti bfk
oncludetht secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be comp) ed within 180
days of permit issuance.
• � p` r„ ` 1 <
x /Av\t t.t�Ci. V 1-( t x
Applicant's Printed Na Applicant's Signature
vv" Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA175270
Date Issued:03/24/2022
Permit Category:ePermit
Site Address: 1184 Kinglet Ct
Lot:2 Block: 2 Addition: St Francis Wood
PID:10-65900-02-020
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 -
Sergey & Sarah Berg
1184 Kinglet Ct
Eagan MN 55123
Bonfes Plumbing Heating & Air Service Inc
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA175271
Date Issued:03/24/2022
Permit Category:ePermit
Site Address: 1184 Kinglet Ct
Lot:2 Block: 2 Addition: St Francis Wood
PID:10-65900-02-020
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Sergey & Sarah Berg
1184 Kinglet Ct
Eagan MN 55123
Bonfes Plumbing Heating & Air Service Inc
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature