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1458 Kings Crest?I - - • . "t / ` fr\ ?? ? ?it? o? ?agan , 7 -- This Certificate issued pursuant to the requirements of the Uniform Building Code ?- certifying that at the time of issuance this structure was in compliance with the various ? ordirurnces of the Gity regulating building constructiore or use. For rhe fallowing: use classifipu(m: 'IFIW siag. eerrnit xa 1423 O-pancY 7}'Pe _ Zoning Dishict T CoR Ownec oE Suifding M•By ovi•• Address 1601 i ., B I ga?ngqdd?ess 1?i? ?.'? ?+ ? -- I'°caliq' 1,I, $], a tiOW ? ? ` ??,. . nste: I1/27/q2 Buildin officiii POST IN A CaNSPICUOUS PLACE ? . ? ? ? INSPECTION RECURD Control No. 104$ ? _. G1TY OF EAGAN PERAAIT TYPE: ou 11. 11190 3830 Pilot Knob Raad PeRnit Number: 00 1 4: 1 Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: LOT ; I 1. 4+.,; K IN6?: r.REST Y: t N G7; 00410 Ii T!f PERMIT ?cl?lBTYPE: APPLICANT: HC1MV5 NY CNASE 1 btF I apb-5337 TYPE 4F WORK: m INSPECTION 1 00 1 1 ?lli r• .. . f rrnhiI M+t .. . 1Nry1.?? ?? I Oro F r?AL ? FtRfr{'i.As t ? ftpMAf2FS: ', b W LUN1'RACTOR -- ????e? i'. }l y _ ? _ ' ? J ? 2 .... . ?. v . -. 1 u ? a. ?.r ? ? ?I , .. ? . _. . . . , . J l.?? _ 7 PormR No. Persnk Fioldmr Date Talsphane SNV PLUMBING ' HVAC ELECTRtC ,/,'! / ; / ' F;}: i 4j1?n •?`- ?C??;'ii? ELECTRIC fnspectfon bete lnep. Commertta FootdRgsi Foundation Framing t 0,1 "efa o? e- Gee RooBng Rough Pipg. O Rough Htg. / l5ul. Fireplace Final Ht9. Orsac TW Finai P1bg. N7 f0,. Plbg. Inspector - Notliy Piumber Canst. Meter EngrJPlan ' Bldg. Flnal 4 7?2- Deck F-tg. Deck Rnal / wen Pr. Disp. Ct,..?•?? ?0..'i? ???93???- ? /-r- AlA. re5?' ?Z -";- - /?/ /9/l`z ' d&P INSPECTIUN RECURD? CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: APPLICANT: ,.... e! l3..?`• 1. 1; I. 1 ? f}??.I?1; !!'? e l?l-I:,i? i1 ? i f rlt,'? I..i??;?,? . 1 li i•; !.' j ?rt;?. ..7h.1 7 i:;i? I PERMIT SUBTYPE: i rrNIA I , TYPE OF WORK: I JNA r r - ?, _ . . , . . . .. a P , .: Permit No. Permft Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Fnal Pibg. Plbg. inspector- Notify Plumber Const. Meter Engc/Plan I Bldg. Final DeCk Ftg. Deck Final Well Pr. Disp. K29799 Request Date ' Rre hb flough.in InspMion Reqmred? ? Reatly NOw ill Notity InspecWr 0 4ertfies L No Whan Reatly'+ IjXicensed contractor ? owner hereby request mspection of above electrical work at: doo aaaress isveec eox or aoma rvo i cm Section No Township Name or o Range No Cou? ? Occupant(PRINT) Phone No. a-a--" FqS--q'3 3 Power Suppber Adtlress S-SQ3..CL ? ?. o- 30o a?G-E6 So?cJ. m.?,` EIxV¢al ConVaclor ?Company Name) .? ?',?? ConVactor License No c?4o f3 a Ma"ilm?g A/aOress ConNVac^tor ;r owne? Making insianaeoni 4s 7 (R O l / Aurt qrrzed nature ?ConVactonOwner Mabng InsialtaLOn, Phone Nomber MINNESOTA STATE 011R0 OF ELECTRICRY THIS INSPECTION FEOUEST WILL NDT Grlqge-Mldway Bltlg. - Roam S173 BE ACCEPTED BYTHE STATE BOARD 1621 Univeniry Ave.. SL Peul, MN 5510G UNLESS PROPER INSPECTION FEE IS PMrie (612) 6,1240800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION °1T•`•'-°'? eaaoomoa ? See mstmcnons for camplelmg thislonn on balhc oi yellow copy 9 _????? ,a?? m K 29799 "X" Be/ow Work Covered by This Request ew d ?iep TypeoBmlding AppliancesWired EquipmentWVed ? Home Range Temporary Sernce Duplex water Heater Electnc Heating ApL Bwlding ryer Othec(Specity) Comm /Indus[rial Furnace Farm Alr Conditioner Olher(specdy) Gonfractor5 Remarks. Compute Inspechon Fee Below, M Other Fee # Service Entrance Size Pee its/Feeders Fee Swimming Pool 0 to 200 Amp& / Amps Tr ansformers Above 200 _ Amps _ Amps 44 Signs Inspectors Use Onry. TOTAL Irn9auon eooms ??' 5"U SpeCial Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 JJIONTHS. I, the Electncal Inspector, hereby Aougn-in oare?? certit ihat the above ins ection has Y P been made Final Dat%I d OFFICE USE ONLV Tpis requesl voM 18 monihs from Address: 1458 KIPIGS CBEST Lot I Blk I Sec/Sub KRUg yppD STH These items were/were not complete at the time of tha final inapection. Date: 1 92 Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main antry Permanent driveway Permanent gas Sod/seeded grass t/ Trail/curb damage Porch ? Basement finiah ? Deck ? Please verify vith tha builder the removal of rooP teat caps from the plumbing system and the shut-off of water supply to tha outsido lawn faucet befora ? freeza potential exists. ?n?oww White - City copy Yellow - Reaident copy Pink - Contractor copy HOUSE HEATING TEST RECO D?/ ADDRESS _APT.?FI,OO,ft CITY6?AClLK.bUBURB OCCUPANT 01VNER f '-?? ? - ?? HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY ?y Elochical Wor4 By _Gos Line By TYPE OF MEAT GA _ FA _4<;_HW -STEAM -SPACE HTR. _UNIT HTR. -OTMER 'A2 GAS DESIGN CONVERSION MAKE MAKEOF BURNER Model Modol Sxial Max. BTU Rotinp INPUT MAKE OF FURNACE Model ??? pCONTROlS THERMO$TAT [./??- Haat Plup .?- Valre ?/1? ? Limit n Limit Settinq ? Fan Settiny Pilot Type _ Pilot Moks _ Pilot Model _ Pilof Timiny LW CtOR Vent Siz* _ KIND OF L Drah Hood Filter• Si:e? Qhimney Locofion Giimnay Construction $mok? Bomb _ 0.aft . . u Dow P ? rusure- Prsasurs Parcenf CO? Da» Teated - Inpuf CFH Percent 0 2 Company Taating Stack Temp. Parpnt CO Nams of Tsstar , _ SIZE?NONE,' aror T"r11 -Ou1side Wirinq Teaf Tap Liphtiny In.1. Form 235 7?,?s? zoos RESiDENTIAL PL.UMBING PERMiT APPLtcATioN ° - CiTY OF EAGAN 3830 PiLflT KNL1B RUAD, EAGA3d @IfliM1i 55122 651-675-5675 Please compfete for modifications to existing residential dvae{lings. Date_'L'_I?1? Site Street Address Unit # Alterations ta existing dwe41ing $ 50.00 _ Add piumbing fixtures. This fee includes instaliation of a waier softener anc4/or water heater at the same time. If you are 6sesta/ling a»pv a water softener and/os wafer heater, do nat complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _ Water Tumaround (add $130.00 if a 5(8°° meter is required) Other: XWater Smftener I new _ Lawn Irrigatian _RPZ State Surcharge 7otal _ Valater Fieater realacemerrt _PWB -new I hereby apply for a Residential Plumbing Permit and acV wnrk will ha in cnnfnrman.-.> ,.,v+s, tho ,,.?:.,.,..,.?.. .. _repair -rebuitd that the information $ 15.00 $ 30AQ $ .50 $-/-s'y_ lJ and accurate; that understand this is not a permit, but only an app -r " Qllu Ene plumoing coaes; that I lication for a permit, work is not to start withouY a permR and work wili be in accortlanc with the appro d g,lan in the event a pian is required to rwel an a praved. / Appli a s Printed Name A pli nt`s Signature DEC I I M Co q/a6 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan 1VIN 55122 Telephone # 651-675-5675 Please complete foL: single family dwellings & townhomeslcondos when permAs are required for each unit so ,5u Date ?j7 ()5 Site Address Unit # PropertyOwner?I?i? ???F?????• Telephonc#( ) Contractor StreM Address City State Nip I u Zip Telephone #( -!MM Bond #: 0 Expires: q,5)0 - -70 The Appticant is _ Owner ? Conlractor _ Other Add-on or alteration to eaisting dwelling unit $ 30.00 furnace _Additional _Replacement air exchanger air conditioner New Replacement ? other ?supoi?.'s g1/Zlu,V1`?scu I(/1 IVeA'l State Surcharge $ 50 Total . ? ? $ ' -- I hereby apply for a Residential Mechanical Permit and aclrnowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry 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 staR without a pernti[; that the work will be in accordance with the approved lan in the case of work which requires a review and approval of *+lan? ?l/-n &Vl l ( ? ApplicanYs Printed Name 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telep6one # 651-675-5675 Please complete for. commerciaUindustnal bmldings mu1Li-famity builclings when separate pe.mnits aze not required for each dwelling unrt Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Tetephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #• Expires: The AppGcantis Owner Contractor Other Work Type _ New Construction _ Underground Tank _ Install _Remove *"see below _ Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: "When insta!ling/removing underground tank, cafl for inspection by Fire Marshal and Plumbing Jnspector PCi71SISFCC9: $70.50 Unde['gour.dianl:insWlation/rzmoval $50.50 Muwnum (mcludes S[ate Surcharge) or Contract Value $ x 1% _ $ Pernut Fee • If nerntit fee is $1,000 or less, add $.50 ? $ State SurcYiarge If nermit fee is over $1,000, add $.50 for , every $1,000 perntit fee $ Total Fee 1 aereby apply for a Commercial Mechanical Pernu[ and acknowledge that the information is complete and accuraze; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand dus is not a permit, but only an application for a pemut, and work is no[ ro 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. ApplicanYs Printed Name ApplicanYs Signature Approved By: . Inspector Date: 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date ? ?V 0 , p I SkeStreetAddress Unit# Property Owner -Ra/' L?? N GL? I? ,? 1 C? ?? ?UI(,I1Telephone #( ) Contractor - 12 C Telephone#?.A)? Address?) 112.?? I I ? Citv ?/ ?.l.c ?r? ISV? I (i State 1?i. L Zip11?3- The Applicant is: _ Owner `Rontractor _ Other Alterations to existing dwelling $ 50.00 -41, Add plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). _Septic System Abandonment _Water Turnaround (add $125.00 if a 518" meter is required) Other: Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $ ?•? I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is nat to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. , ? ApplicanYs Printed Name Applicant's Sign ure ;?iAY 2 a 2005 i. ? ?li? 1?111 2005 RESIDENTIAL BUII,DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsirucUon Reomremenls 3 registered sAe surveys showing sq, fl, af lot, sq ft, of house, and all roofed ereas (2(1°h maximum loicoverage allowed) Z copies of plan showing beam & window s¢es, poured found design, etc. 1 sel of Energy Calculations 3 copies of Tree Preserration Plan if lot platted aftet 711/93 Rim Joist Detatl Ophons seleclion sheet (buildings wtlh 3 w less units) RemodeUReoair Reauiremenis 2 ccpres of plan 1 set of Energy Calcula6orrs for heaied adddion: 1 srte survey for additions & decks Addkion - indicate if on-site saptic system ??3Y. Y6 LAtw 4(IS ? 4x, Cerlt35urveyReed rtY N Tree ft2sP1an ReLd YY _N Tree}'resRaquired „„Y :,;tJ C3o?si1e3epMa5ysiem ;Y _N DBtC _5" / o' ) Site Addrees 0 57 C0n911'UCtiOn CO3l 6o K Unit/Ste # Description of Work 4 q// ??o" w p? ?? /( LE fo..,-c°•,,P` ? o?s r6t ? d??`Khcd ro o.-,? Multi-Family Bldg _ Y!? Fireplace(s) 0_ 1 _ 2 Property Owner ? Dt2r ?z-lJp ?o r., Telephone #( 6??/? 6 Sb -)`6 17 Contractor /eal,plj naaress 33 State /)/ ,, , f6. city 141;;e,4? Zip ??,? / Telephone # (6? ) Y6 e ?-ay 6 7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate¢orv 1 1?Iinnesota Rules 7672 Energy Code Category , ResideMial Ventilatlon Category 1 Worksheet • New Energy Code Worksheet (J su6mission type) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan8 _ Y _ N If so, 2597o plan review fee applies. LicensedPlumber Telephone#f4y Mechanical Contractor Q c ` Sewer/Water Contractor 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 tlte ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pernut, but only an appiication 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 re ' es a review and approval of plans. sJ'q i:A?ii i ) 7005 ? Applic t's Printed Name plicant's gnatur ?u ? 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 ? 27 Porch (3sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage "J2C 22 Porch/Addn. (4-sea. ) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-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 Pibg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish IMerior ? 44 Siding /K 32 Adddion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair, ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors 0 34 Replacement 'Demolition (ErHire Bldg) - Give PCA handout to applicant ' Valuation L7ot3 Occupancy fzy ° MCES System Census Code Zoning ri If City Water SAC Units Stories Baoster Pump # of Units Sq. Ft. PRV # of 81dgs Length Fire Sprinklered Type of Const ?6 VVidth REQUII2ED INSPECTIONS _ Footings (new bldg) FiaaUC.O. Footings (deck) - FinaVNo C.O. Footings (addilion) Plumbing Foundalion K HVAC _ Drain Tile r Other Roof _ Ice & Water _ Final Pool Ftgs Air/Cras Tests Final ? Framing = = = Siding SNcco Stone Bri ck Fireplace _ R.I. _ Air Test _ Final _ Windows ? Insulation _ gytaining WaR Approved By: _ ::1 C.. , Building inspector Base Fee Surcharge Plan Review MGES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total LIl- P16n, 600, Yn ?aj ,w- q f ? ot ? U. RVEY???S CERTIFICA''E HOMES BY CHASE Go;vn el/cq K I NGS CREST_____,?__ _ ?. 992.3 H89.5 N 89211 89Q9 N 889.5 p 894.0 •- 100.50 S 89°22 34 E'. I? 890.4 m ? ? BFNCH M4RN TOP OF PIf'E d.N ¦ li6.7B ?..? ? \ ci . , L7J ci r? -° - G _ -I ? \? ?J Q PHOPOSED R y ORIVEWAY ; - zopo_ , Csaa-,cl1 22.3?/ W ' .7 e G AR. , n m J? i Tltw O F / ? ? --- 892.4xT I zso x,?d e ?aMN ? n? O`JO.4 e96.3 - "894. 1 t 5,i J ? o-r i ? rn ? p0E 8' ? p ? f+7 . 1 895. I ? K 903. 4?pgsM?T ? o ' r ° N 7 g, ¦ '- 1p2•04 { 893.7 -, -,- r [: NO 9PClr1C SOII$ INVES7i'iqTION HAS BEEN COMGLETED ON TMtO LAT BY TME SUR4EYOR, T!£ SUITA8ILI1Y OF 8011.8 1O SUPPpRT THE 3P&7CIFIC HWSE PqOP03gD IS NOT T/E 11`7?PpNSIBILITY oF rHe SUHVETOR is DENOI'ES PROPOSEO SURFACE DRAiNAGE O DENQTES IRON MONUMENT SET 0 DENOTES IRUN MONUMENT FOUND ' X000.0 DENOTES EXISTING ELEVATION (000.0) DEhtOTES PROPOSED ELEVATION WE HEREBY CERTIFY TO HOMES BY CHASE THAT THIS IS A TRUE ANp CORRECT REPRESENTA710N OF A SURVEY OF THE BOUNDARIES OF: Lot I, Block I, KiNGS W004 bTH ADDITION, occording to The racorded p!at ?hereo4, Gakota Caunty, P.ilana+so4a. {T DOES NOT PURPORT TO SHOW IMPROVEMEN7S OR ENCROACHMENTS, EXCEPT AS SHOWN. AS S{.1R1[EY,E?E.,0F0C$RY011A'YMY DIRECT SUPERVISION THIS I ST DAY OF SEPTQr1BER, 1992. R. HILL,INC. jal"leS R. Hill, {C1C. RLANNERS / ENG{NEERS / SURVEYORS r?BENCH MARK 70P OF PIPE ELEY=B94.67 f!1 L? - - `v t l ?I 0? ?, cT ?t ? ;-- ? -- N I ? NOTE: 6UIlDfNG qMEN510N5 SHOWN ARE FDR HORIZONYAI 9 VlRTICAL lQC' ATION OF S7RUC7WIE OtiX frsE ARCMITERUAL PLANS MR lUII.DINO 6 FOUNDATION DIMfNlIQMB. SCALE:IINCH - 30 FEET PROPOSED GARAGE FLOOR - e,95.Z FEET PROPOSED LOWEST FLOOR - grM6•Z FEET PROPOSED TOP OF BLpCK -$ot L.3 FEET JOHN C.LAFSON,LAND SURVEYOR MINNESOTA IIGEN&E NLiMBER 1982$ 2500 W. CTY. RD. 42 *SURNSVILLE, MN. 55337 + 812-890-6044 F:E 0 p F'± ?C?`al?N ':S.idC.?" 04/15/2005 08:50 qve.l4 . 20 0 5 3 5 5 P M 6514603467 6AK6TF CTV L'dYaEP, RALPH AND DEB HANSON RESclieck Compliance Certificate 2000Mnnesota Energy Cade R.pSche*Sn1wzc Vasion 3.6 Relem la Uata Elmame: C:1Progsm Filrs\ChedclRFSdtodcUiAI.PH HANsQN.ick PROIEC]' TTlLE: EU bL I3SA CONNLEX COLwPY: Deknta J A A ] h,: MYORCSOfR ZG, fE: 2 CON57'RUCTT(3N T'S']'E: SiagleFantily W1NC/0W ! WALL RA7'[O: 0.27 DATF- 04l14145 DESl0%MR/CM1' P.ACTDIt: kALPH HAN30N CONSTRUCTIUN COMPT TANCE: Pacrss Maxittum Us = 86 Xour Honee UA = 88 0.49ro $d1a''Chan CodE ([TA) Cciling 1: Flat Ceifing ar Scissor Smss Wali 1: W'aod Frarn0. 1G" o_c. Window 1: Above40fsda W ood FrmntDouble Pame with Low B C)oac 1: Glass Basnlent Wall ]: Mesonry $10ck wieh F.mpty Cdls wdl bright: 8,0' Depth bdaw gxade= 7A` Tszulatiau dspth: 8.0' Windaw 2= Beaancati> 5.6 12:Wood FiamxDwblePamewith Law-B ? ? ? ? G?oss ? Aiea or Csv?ty CaViL i or Y7oor $gig= B-VAYOC R 1is1 uFadK 17A y 304 48.0 1.9 8 448 19.0 2.0 19 80 0. 22 36 ? 0.286 10 44$ 13.0 0.0 ? 25 ? ? A 7 0.290 z Froposed anQ Maiximtim U-Faclrie' Avaaga ? Ploposed Mwdmlza AraaLe U Fauar AAowe? U- AhovoCbcadc Windaws aatid Crlas Doots 01280 0.370 ? I Tndudes Foundatiom Windows > 5.8 92 I ? cotOzaaNcs srnrEnaErrr: rxe pmposed nuila;us aeaign aeacrtvea nae is amsecmr i?sh th ' aing pling. ! PAGE 62 No.663d P. 2 ? pamtt er ? C 8y/Dptc ? ?1 1 f ( i i i w I 94/15/2005 08:50 6514603467 RALPH AND DEB HANSON PAGE 03 W.14. 2005 ?:ybPM DAKOTH CTY LUMBEP, ? No•0634 P. 3 apxificatinus, ?d other calcvlatio? subrniEted widh de pd¢aait spPlio?on. Tlw pcap0eai btt?l.d'mg? bem desi to ? med t8e 2Q00 Mirt?esota Fnagy Cotlo ' i?u RP3c? Vasion 3.6 Rdease la t?OmietlY Cd+euTi) cmPty w?Ah ehe maad uirem?+tc ' tLe RESdsaak Xospodion Chedclist. , 8uildedAe4ig?' ??\ .? 1 ? : n ? ? T S? SY'RVEY ORgS Go-7n ??/ CE?iT1F1C1?TE HOMES BY CHASE ?y5? K I NOS C R EST??__?___ _ , e92.3 saa.s N ? N 892,1 $90.9 N 889.5 p 894.0 •" 100.50 S 89022 34 E'. 890.4 ? _''^ ? g o T. \ - vq? BENCH A4RFE K PROPOSED OF PM 7UP ORIVfWln ?? 5 ELN+ SY6.7!! ? - zoao-, (8ei4,q) ?? -4 -- 893,0 .33 842 .4 xT w ? 1 ? o I ? 6AR.' ? \D^ N Fp t0 9°°-V _ I a.o 5 J 1 r ~ L? 1? M M . ? .0 6 0 - ? 1 G_ M ?n ? i ? 26D ? o PROPq6E0 _ Z ? 5.67 L 1 8 96.3 2400 ? X 5 0 - g0.11 y Li 094.1 q5,6) 895.1 12?4,q) C? ?` 5 tr?y4.4)?-lr6h?? ? ?' s rn ?' L OT ( ? -? ` - - ' - - ? ? 4 g ? EA E ??T ? P ?AT \? -- ? ? S p 5 895.1 ? • ? 9, ?g' 32'? ?. 4 - N 7 04 `? ?., ---' as s.r :: NO VICFK SOII$ INVESTRATION HAS BEEN COMP{.ETED ON 11N! tAT BY THF 9tIpV[YOR. TIE SWTAlIILIt1f pP SOILS 10 8UMORT THE SPECIFiC NOI19E PROPOSED IS NOt` Tk[ 11[OrON81BfLITY Of TM[ SUNVETOR -0 OENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET • DENOTES iRON MONUMENT FOUND. ' X000.0 DENOTES EXiSTING ELEVATION (000.0) DENOTES PROPOSED ELEVATION a ? nN n p? n O m i O tn N M _?BENCH MARK t'OP OF AIPE ELEK Bg4.sT 903.1 L?J ( rl C? -- `? r ? Llt I i ?-- ? i' - -- N I ? NOTEt BUIlDfNO DiMENSI0N5 SHCWN ARE FOR NORIZONYAL 9?TIGAL LOt- ATION OP 1YTRUCT OIYY !tE ARCM17'ERUAI. PLAN! IOR fltiLL01N6 B FOUNOATION 'DIMEMlIONB. SCAlE:1 INCH - 30 FEET PROPOSED GARACiE FLOOR - e95.Z FEET PROPOSED LOWEST FLOOR - O?dSdZ1, FEET PROPOSED 70P OF BLOCK - $q4.3 FEET WE HEREBY CERTIFY TO HOMES BY CHA3E THAT THIS IS A TRUE AND CORRECT REPRESENTATIdN OF A SURVEY OF THE BOUNDARIE5 OF; Lot?l?, Block I, KINOS WOOD.STH ADDITION, according to the recarded ?: u? hei8o", wkvSu COuYily, 7viiilYii90Ptl. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SNOWN. AS D("Y DIRECT 5UPERVfSYON TH15 1 ST DAY OF SEPTE]NBER, 1992. S4lR\(,E\rf ?,' EVfWlW R. HiLL,ING B y EAGLNGINEFRING n JOHN C. LARSON, IAND SWRVEYOR MINNESOTA LIGENSE NUMBER 19828 o . . . . -I D= :Jamesf?*11, inc ? ?o ? ? ?o .? . y s w A z t0 m PLANNERS / ENGINEERS:1 SURVEYO?S ?? ii ? x z O m y N < ' 55337 ? 812490-8044 2600 W. C1Y. RD: 42 i'8URNSVILLE, MN. . , „?_;_... ,.. , . . . _, _... ._ .., ,. ,... . . . , Cities DiLyi ity Control The following image represents the best available image from the original page. 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StI f t x IlUn ^ ????{ y/, ??} OI"f!71 ....•. 1,22 Sf1 f t X l'U'! , ---L_rL.._ •? (n1;?1 fnvnrlqtlr?n ' :?tr•l ..........?LLL_._._.. Sr) fnUt1?1:1t I011 : . \d???t?/ll7 PII'I`.1......•...•. Sft rt X "Uil n ?) Infnl nr? f.??mdnClon' ' ?. . • , . . TIlovC t?r'ade?....... 1 . sq (t x??U?? •. . . ? I • . 1111/11. n) thru I) ? ?? ?'/ - If itr m /r) ?t th?. 5?mr ns, oY ln!! ?I5Af1 Itrm , ;afllOfl ??Qni y'O U ? IRV(! MCt ??1? 1111t1!11t tlr toaar cxilg9oa f t . ... ?. ?) . Yotal skyIlpht. araa....... . C1 ,:>;:pp ft x?.??? .?i Tota) roof/cnl lIn f ' , ?•??`'?"?Fa??`?'' ?., . .. 9 II +reming ?*?`•;ti?• t-? ?. . • rQB (nVRI'SQC Intij?.??• % ??U?? iC/?:T?S a ? /?,L)???? • i • , ?.'.;:e ?.i i? - r C..-__.. i) Toto) nct InsU) ? „r`':`?; '•' etcd . •?? IOU??CO???III? OC6S...r..r rt X "U" C) .;c ., ? . ;. . .• " . , . iUtAL totnloof A'h Is tho same as, ar less tlinu 642, you hove met thc lri tcnt I.C. Sectlon 6606 (c) I. .. ? .? . ? ,. ' . . . , • ' •• ' ' . :.?.r'.'; : , ..; • .. .-:;• ':r;a, ?.:. . • • . . •• • . . . ? . , , . • . . , . ? .. ?. . . . . , , , 11lTElUTATC iiul Lpl na EpveLorL ucsicu . ' . ?? ??Nllzc lha total envolol)e Syftcm method,,th4`.vpluos.estaLllshed by tlic suut . f Ilrlns NJ onJ Nh sliall not Le ??reatcr than the'buM of Items //) !r anJ 2. 1• ? 7• • ? q ' . 3• r.?-it rir.icn71 n ?????ebY certlfy' tlrot 1 liave calculnteel tiie "U" faclois onJ "It" values hcicln und lbot the bUlidln-I Lerc dcserlbRd wee[s ui- cxcecds lhe Stfttc nf Illmtesota EncrpY f.onscrvatlon Act. • . /7 , ' . i S I tin?? . . . . ?`? 5t 1-- Ya?y21''? • - --- ,„ NSTRUCTION R VALUE - AMING SECTION: Interlor alr film 0.68 . WALL SELT10IJ (IH5ULATED) ST SECTIQN: txterlor air tllm - p.17 1011 secrioN: iuiHL n - y" u - 1/n • ? U Q I/ R e• &/v U ° I/R ° •?7 Interlor aIr fflm n,AQ / 00 . Exter +or air fi)m n.17 TOTAL R = / .(3 U - 1 /R ° (1w SLAR ON CRADE .• . CDNSTRUCTION R VALUC° CEIUIIG SECTIQIt {INSULATEO): - I Interlor lr flim n,Fl 2 y 3 0 4 Exterlor alr f11m still n,A1 TOTAL R u - t/R . CEILING FRAHINf SECTION: I Interlor atr film • •?,f, 2 -3 ,P' t+ ?1?)nsaL Inter or ai? m st j07 5 _q/,,-inches So t wood 3 TOTAL R . ari U= 1/R°Agjgg VENTED CEILWG ;Ef,T10M (INSULATEO): ' 1 Interlor air fflm n:61 2 / .? 3 4 F.xtert-• 7ir 11m still 0, 1 TOTA1. R r U - 1/R - CEILINn FRANIHf; SECTION: 1 lnterior air film 0,1; 1 2 3 4 F.xterior air iIm Still ?1. $ Inches soft wood TOTAL R ? U= 1/Rp ??•".?. 1 I'nside afr •?i• ?.Rf 2 3 ? ._-- 4 ? 5 Outslde air fil.. ?.17 TOTJIL R a L,_,,,,Z. ? ei ? CITY OF EAGAN CITY USE ONLY PLUMBING PERMIT SUSD, (612) 681-4675 RECEIPT DATE /O v RESIDBNTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS, ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED_FOR EACH UNIT. 1 „_ WORK DESCRIPTION NEW CONST ? ADD ON _ REPAIR _ ?. ... OWNER NAME: 7 IOW42b ctSV l?'? SITE ADDRESS: 14Sg INSTALLER: 1-7 1 T0..? Ltd • ADDRESS: ICIa-(¢O WILL.Sv1ino h ?d• CITY: PV'i0V' L'_6-e_' ZiP: ?53?ra - ". :COMPLETE THE FOLLOWING:. N0. FIXTURES EA. REPAIR/ADD ON 15.00 ? •SHOWER 3.00 •WATER CLOSET 3.00 a -BATH TUB 3.00 ? •IAVATORY 3.00 I . KITCHEN SINK 3.00 ? IAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 ? WATER HEATER 3.00 FIAOR DRAIN 3.00 GAS PIPING OUT. ? (MINIMUM - 1) 3.00 _ ROUGH OPENINGS 1.50 _ OTHER WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 _ W. TURNAROUND 15.00 TOTAL 3•00 a0 ?0 • b0 ?a.ao 3•DD 3?D0 ? •? 3?oa STATE SURCHARGE .SD TDTAL: S 4 S •SO r nnwnnnr%r PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHF1V SEPARATE PERMITS ARE NOT REQlTIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: nL7A7RR iSAMR • SITE ADDRESS: TENANT NAME: SUITE #: IlISTALLER: ADDRESS: CITY: PHONE #: FOR: CITY OF EAGAN CONTRACT YRICE: 1% OF CONTRACT FEE. . STATE SURCHARGE - $.SO FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMi1M FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE TOTAL: (SIGNATURE) PHONE ?: 4?I O-??] 7 q CITY OF EAGAN L_L B MECHANICAL PERMIT SUBD. (612) 6814675 RESIDENTTAL RECEIPT # DATE d PLEASE COMPLEfE UPPER PORT[ON ONLY FOR SINGLE FAMII.Y DWELLINGS. ALSO, COMPLETE FOR TOWNIIOMES/CONDOS R'HEN SEPARATE PERMTI'S ARE REQUIRED FOR EACIi DFVELLING UNTP. OWNER: S 777777 77' ADD-ON A/C 11 ADD-ON FURNACE ? STfE ADDRE M ADD ON/REMODEL (E)aS1'ING NLl ' $ 15.00 CONSTRUCI ION O ) INSTALLER: k HVAC: 0-100 M BTU 24.00 PHONE #: '?(c c' - - ^ ADDI1'IONAL 50 M BTU 6.00 ADDRESS: ?j(-)C a? GA3 OUTLETS - MINMUM 1 Q$3 EA. ?3 DC CITY: ? ZIP: ?5O SURCAARGE $ so SIGNA ?, ' ,? - TOTAL: .` L NO PE?2MIT REQUIRED FOR DllCTWORK ONLY! COMMERCIAI, PLEASE COMPLETE THIS PORTION FOR ALL COMMERCLIIIINDUSTRIAL BIIILDINGS. AISO COMPLETE FOR APARTMENT BUILDINGS OR OTIiER MULTI-FAMILY BUILDINGS WAEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLIPIG UNTT. R'ORK DESCRIPTION: ? CONTRAGT PRICE 1% OF CONTRAGT FEE. FEFS STATE SURCHAR6E IS 5.50 FOR EACH _ $1,000 OF PERMTf FEE. $ PROCE5SED PIPING - $25.00 MIivn?4tJM FEE - S25.00 $ OWNER: TOTAL: $ SI1'E ADDRESS: 1'ENANT: SU11'E #: INSTALLER: , ADDRESS: CITY: ZIP: _ PHONE #: CITY SIGNATURE: SIGNATURE: L _ Bl ? SUBD. OFFICE USE ONLY ftECE1PT #: DATE' 1996 PLUMBING PERMIT (CQMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 ' Please compiete for. , all cwmmercialfindustrial buildings. ? muiti-family buildings when separale permits are pgs 2quired for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON _ REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED7 _ YES _ NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESUL7' IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM9 _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINitLER PERMIT. FEE: $25.00 minimum fee or 1% oF contract price, whichever is greater. State surcharge of $.50 per $1,000 oP permit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL ElTE ADDRE$8: TENANT NAME: OWNER NAME: INSTALLER: ADDRESS: cirv: PHONE #: SIGNATURE: OFFiCE USE ONLY STE. # _ STATE: APPLICANT ZIP: METER SI2E: " DATE: INSPECTOR: 1/ 3z L BL CITY USE ONLY RECEIPT #:(I ???"' SUBD. ?" DATE: 1986 PLUMBING PERMIT (RE5tDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55172 (612) 681-4675 Piease complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EAC}? yQ TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 :c = Laundry Tray 3.00 ;c = Hot TubtSpa 3.00 :c = a er Heater 3.00 ;c = 3.00 :c = Gas Piping Outlet " minfmum -1 3.00 :c = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal ' Dakota Cty. license 65.00 (new and refurbished systems) U G ` home under const. 3.00 = Akeexisting M 20.00 Around 20.00 5TATE SU RCHARGE .50 TOTAL ? SITE ADDRE55• CONNELLY 14SR KINGz cREST LISA EAGAN , 55122 OWNER NAME: "686-7617 w INSTALLI STREET cmr: PHONE #: ( ) ? W'vRUUREUl? PERIRITT STATE:_ ZIP: 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) cirv oF eacwu j ? y, a? 3830 PILOT KNOB RD - 55122 ?tt; -t 651-881-4875 Naw CanshucHon Reaulrements 341dol 10 o a Rernodel/Roodi ui -7'S'U U ? 3 registered alta wrveya showlny sq. ll, d bt, sq. lt. of house ( and gU rooled areaa c20% maxlmtan lol covaraae rnwwem > 2 coples of plans (ahow beam a wlndow sizes: poured Ind. design; etcJ ? 1 set ol energy calcuiallons > J coplea d hee preaervallon plan If lol plalted aftr 7/1/93 DATE: 6/02zlq o DESCRIPTION OF WORK: c P 4 SiREEf ADDRESS: LOT: i BLOCK: ? SUBD./P.I.D. tl: PROPERiY OWNER COP(fRACTOR ARCHITECT/ ENGINEER 2 copies of plan 1 set of energy ccdculatlons tor heated addillons 1 9ite survey for exfedor adtlitlonf & tlecks CONSTRUCTION COST: t Name: CN ti ?? Phonet:?? ?86- 76/7 La61 First Sheet Address: /y Clfy Z-i..i,. / State: ?-Zlp: Company. Ca K.jOt. Phone #: ? bs ;L r?O -O?j ?7 (aiea c`ode) Sheet Address: ?? /? o`?.?.2 ?? ? .L License #,9 P•2 /P1'?,f ExA. aty stara: •??i _ zip: Compcmy: Telephone #: ( Name: Streef Address: RegishaHon #: qty State: Sewedwater licensed plumber (j( installina sewedwater): Phone #: vP: I herebY acknowledge ilwt I hove read this opplicaNon, afate lhat fhe Infomwlion is cone ;and agree to compl Ih all appCcable State of Minnesota Sfatutea and City ot Eagan Ordinances. Signalure of AppGcanY. OFFICE USE ONLY Certificates of Survey Recelved _ Tree Preservation Plan Received _ Yes - No Yes - No - Not Required JUN, 2 8 - OFFICE USE ONLY ., ., BUILDING PERMIT SUBTYPES ? 07 Foundation ? 07 05-plex ? 13 16-plex ? 21 Poroh (3-sea.) ? 02 SF Dwelling ? 08 OB-plex 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of _ plex ? 09 07-plex b 18 Deck ? 23 Porch (screened) ? 04 02-plex ? 10 OS-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Pibg _Y or_ N ? 25 Miscellaneous O 06 04-plex O 12 12-plex ? 20 Pool ? 30 Accessory Bidg. WORK TYPE ? 31 6ct. Alt - Muiti ? 33 Ext. AR - SF O 36 MuRi ? 31 New ? 36 Move Bidg. ? 43 Reroof )!?, 32 Addition ? 37 Demolish (Bldg)" ? 44 Siding ? 33 Alteration ? 38 Demolish (interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors ` Give PCA handout to applicant for demolition permit GENERAL INFORMATIO,N SAC Code __0L # of Stories sq. ft. No, of Units Length sq. ft. No, of Buildings Width Footprint sq. ft. ? Const. (Actual) Basement sq. ft. Census Code (Ailowabte) Main level sq. ft. MClES System UBC Occupancy ? sq. ft. ? City Water Zoning ? sq. ft. Booster Pump PRV Fire Sprinklered MI3CELLANEOUS INSPECTIONS ? ' Stucco/Stone ' APPROVALS Planning euilding ? Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License n MC/ES SAC City SAC ??G?, ?? ? Water Conn. Water Meter Acct. Deposit SNV Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC '2,0;? ? ? 2 , ??? SURVEYOR'S c'5orlrl el/f. tn N CERTIFICATE 894. . ?( O BENCH MARK TOP Of PIPE euv. s9s.?s -..?, . \ x Cj .1 ?. ?- , ? '-- L? c? C?} ( rl -- i" 5 ? ` o?? Eppp . ?ZA 89 in 4.u I p F z ?? ? 2004 ? --- 892.4FT -- I i ? 26D ? 896.3 x894.1 ; L OT I lA ?A`N? T ? pS`AT Jy EM? o ?I f e9a.i ` p o iQ 132p L ?p2,04 893.7 N 7 9 , - - ? ? MO lCMk 90119 INVESTGATFpN HAS BEEN COMPLE7ED ON TNfi t,OT BY THE lUNY[YOR. TME SINTApILITY OF saLa to auPPoRT r?+e sraaFic MOU9E Pr10POlED 13 NOT T!1[ 11[VONtINLITY OR TNt SURVfTOR 4---- OENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET • DENOTES tRON MONUMENT FOUND X000,0 DENOTES EXISTINCa ELEVATION (000.0) DENOTES PROPOSED ELEVATION HOMES BY CHASE ! l `--,a890.4 ? _-?BENCN MARK 70P OF PoP eLEv:e9,4.5 ? ?t e,.Cw?(s ?? ? LiJ ? ?nN (r1 M1 ? ?, LJ ?O tn -- L?_ i? , x 896.4 O Iq N M ? 903.1 Lt ? r? c'f ? ? ?-- i . N Toyt NOTE: BUIIDING MF11SlONS SHOWN ARE FOR HOR1Z0lRAL 8__VQiT? fIQC' ATION Of aTRIJCTYIILQ ?i ARCHf7ECTUAL Fl.API! !M luIlOIN6 9 FOUNDATION DIM[Nf10MS. SCALE:1 INCH - 30 FEET PROPOSEO GARAQE FLOOR - e95.Z FEET PROPOSED LOWEST FLOOR - O`dSlZ FEET PROPOSED TOP OF BLOCK -$°r4.'S FEET WE HEREBY CERTIFY TO HOMES 8Y C HASE 7HAT THIS IS A TRUE AND CORRECT REPRESENTA710N OF A SURVEY OF THE 80UNDARIES OF: Lot_I,, Block I,. KINGS WOOD,STH ADDITION, according to the recorded **?*****?***?*????*??**???**?**??****** CITY OF EAGAN CASHIER: JS TERMINAL NO: DATE: 08/ 748 ;?1/00 TIME: 14:34:2g ID; NAME: RALPH HAT7gON CONSTRUCTION 3210 9001 1458 KINGS CRES 2155 9001 1458 KINGS CRES 60.00 0.50 Total Receipt Amount: CR136152 60.50 USER ID; J,?y 4 3 t-4 U o 2000 BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 851-881-4875 ? 3 registered sife wrveys ahowiny sq. H. of bt, sq. R. of house and gH rooled areas (20% ma)imum lot covera9e allowedl n 2 caples of plana (show beam A wlndow sizes; poured Intl. deslgn; etc.) n i set of energy caICUIaHorn > 3 coplea of hee preaervaMOn plan If lot plaMed plter 7/1 /9S DATE: ?Ie* A/l DESCRIPfION OF WORK: STREET ADDRESS: LOT: ? BLOCK: I SUBD./P.I.D.O: PROPERTY OWNER COMRACTOR ARCHITECT/ EPJGINEER Name: Fd Phone #: 7d17 lCSt First Sheet City state: /pt7 np: SSI?? Company:ldLl,L?4, C,,A Phone C (area code) Sheet Address: 4;??c? ury,?,/, ? llcense M Exp. CBy Sfate: Zip: -?? Company: Name: Tetephone t: ( Sheet Address: RegishaBOn C City Sta}e: Sewer/water licensed plumber (if irkstallin9 sewer/watarl: Phone #: Zip: i hereby xknowledge Ihat I have read lhls applkaHon, state ttwt 1he Intomfalbn is corte n agree to comply wiih a0 appAcable State of Minnesota Stalutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes ,_ No - Not Required (RESIDENTIAL) It (" o.sb s- RemndeVReoalr ReaWremeMs _CJ(? 2 coplea W plan 1 set W anergy caleWaHOns for h9aled addlMau 1 site wney lor exisdor addlHOns 9 tlecka CONSTRUCTION COST: 7FF-D AUBY: OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 21 Porcti (3-sea.) ? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Poroh/Addn. (4-sea.) ? 03 01 of plex O 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 04 _ 02-plex ? 10 OS-plex O 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex PI6g _Yor_N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New O 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration ? 38 Demolish (interior) ? 45 Fire Repair ? 34 Repair O 42 Demolish (Foundation) ? 46 Windows/Doors " Give PCA handout to appllcant for demalition permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/5tone APPROVALS Planning B uilding Engineering Variance ? 31 Ext. Alt - Multi ? 33 Ext. AR - SF ? as t,nun: Permit Fee Surcharge Plan Review License MC/ES SAC Ciry SAC Water Conn. Water Meter Acct. Deposit S!W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ SAC Units % SAC PERMIT I REACFr"VATt _ 14113 CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-0675 , lg#e,..Jv J ? INGLE MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set af specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date Val uation of work Site Address:_ IL? ?; V?om?d voaf- STREET SUITE 9 Tenant Name: (commercial only) LOT ? BIACK ?L SUBD ? P.I.D. N ;??_ Descri tion of work: The applicant is: ? Owner ? Contractor ? Other (Oescribe) Property Phone ,S3 Name L sT FI RST Owner Address , STREE7 STE N City State Zi `S' 3 P ? Company Phone COntrBCtOF Addres License # Exp. City State Zip ArchitecU Company Phone Engineer Name Registration A Address City State Zip Sewer 3 water licensed plumber . Processing time for sewer 6 water permits is two days once area has een approved. . I hereby acknowledge that I have read this application and state that the lnformation is correct and agree to comply with al] a licable State af Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation El 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 Sf Misc. WORK TYPE pi 31 New ? 32 Addition ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 04 12-Plex ? 10 Multi. Add'1 ? 33 Alterations ? 34 Repair GENERAL INFORMATION v.twcia,: G A f?A/aE ? 16 BaSement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Const. (Actual) V- N Basement sq. ft. MWCC System ¢g (Allowable) v- N lst Fl. sq. ft. City Water Yts UBC Occupancy R 3 M_? 2nd F1. sq. ft. PRV Required Zoning R.? Sq. Ft. tatal Booster Pump #' of Stories Faotprint Sq. ft. Fire Sprinkler Length ? On-site well Census Code lOr Depth s3 On-site sewage SAC Code 01_ APPROVALS Planning Building Assessments Engineering Yariance REQUIRED INSPECTION S ? Site ? Footing ? Framing O Insulation ? Mallboard ? Final ? Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City 5AC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: sac x ? o0 SAC Units _ BSn?T; 15T ??? ? ? 11 Apt./Lodging O 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace ? 15 Deck ? 35 Tenant Finish 13 36 Move $ JSy?Omm'_' ZZ kZ2= 4$4 1 k (a - (`) _._.---- y7$ x I(v=?6tie ?`?K32 = r76Q, i2?A i2 bz) 2bx iz'tz = 32S 3tXliV;L = yoo ? I IS= 22?'L?? tsl,ln-.: ? 14 ?? S - ii ?.- 15 oo X5?.3s'79,500 Z 8 ?[ 53' l53, 8 INSPECTION RECORD C°nt °"°. 1048 CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 001423 Eagan, Minnesota 55123 Date Issued: 0 9(11 / 9 2 (612) 681-4675 SITE ADDRESS: L0 7: 1 B L 0 C K: 1 APPLICANT: 1458 KSNGS CREST HOMES 6Y CMASE KINGS WOOD 5TH (612) 895-5337 PERMIT SUBTYPE: SF OWG TYPE OF WORK: NEW INSPECTION FOOT1Nti „ . FRAMING D• INSUlATION FINAL FIREPLACE REMARKS: S & W CONTRACTOR - ? PERMIT F EAGAN iob Road esota 55123 PERMIT TYPE: Permit Number: Date Issued: DESCRIPTION: ,HUilelfng Fermit Type Sf DWG i Building-'Work Type NEW U6C Oecu¢an6y R-3 hl-1 Canstruation'Type V-N Znning =- R-1 ? Building Length ° 60 Builsfa.ng WidCh 53 f IC ti{ )'i? ?t>>f ?G? :l?r 3.t, JY REMARKS: elojbsD ?, 5 & W CONTRACTOR FEE SUMMARY: Base Fee Plan Rsview Surcharge SAC SAC & SAC Units Subtotal VALUATION $828.50 $538.53 $77.00 $700.00 100 1 $2,144.03 `V1?"J4 p 000 MISCELLANEOU5 $1,610.50 Tatal Fee $3,754.53 CONTRACTOR: - Applicant - sT. Lr OWNER: HOMES BY CHASE 18955337 006161 HOMES BY CHASE 1601 KNOX CZR 1601 KNOX CIR BURNSVILLE MN 65337 BURNSVILLE MN 55337 (612) 895-5337 (612)895-5337 ? T hereby acknowledge that Z have read this ap{3iiaatSon and state that the informatLon is carrect and agree tcs camply with all applicab,le State of Mn. Statutes and Ctty of Eagan Ordinances. . ` -a?- APPLICANT/P ITEE SIGNATURE -Q' ISSUED 6. SI E = 1458 KINGS CREST LOT: 1 BLOCK: 1 KINGS W000 5TH INSPECTION RECORD CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITEADDRESS: LoT: 1 BLOCK: 1458 KINGS CREST KINGS WOOD 57H PERMIT SUBTYPE: DECK PERMIT TYPE: Permit Number: Date Issued: BUILDING 023319 04/22/94 1 APPUCANT: CONNELLY (612) 686-7617 EDWARD TYPE OF WORK: NEW F L J -k CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: ? BUILDSNg t 023319 04/22/94 SITE ADDRESS: 1458 KSNG3 CREST LOT: 1 BLtlCK: 1 KINGS WOOD 5TH P.I.N.: 10-42004-010-01 DESCRIPTION: ? J f ? ? t DECK NEW ?? 13L1 i, `lrf REMARKS: FEE SUMMARY: Base Fee $30.00 5urcharge $.50 Tntal Fee $39.59 CONTRACTOR: OWNER: - Applicant - CONNELLY EDWARp .458 KINGS CREST A6AN MN 55122 612)686-7617 I hereby acknowledge that Y herve read t"his applzcatiqn and SCate that the information is correot and agree tv campiy uith alx applicatale State of Mn. 5tatutes and City of Eagan Ordinances. A-- - L A P?RMIGNA URE 134iildingLPerm3t Type 6uilding W°,rk Type - ?, ?I .t f S . f C I UE BY. SIGI ATURE I ` , • CITY OF EAGAN "51q 1994 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. pate 0q Valuation of work Site Address: Cd_rSf STREET Sl1ITE # Tenant Name: (commercial only) LOT BLOCK ? SUBD. P.I.D. # Sf? A?Qc?i'Fid" I ? - 1Xitr Descri tion of work: "r N Tr-( The applicant is: Owner ? Contractor ? Other (Uescribe) Name Cvn?),)-e L L., ,r uv_e ?-(.Scx Phone 6k????GI`7 Property LAST FIRST Owner Address 4r N C S CKC--'>T STRFET STE # City ?A C-AN State MZ i p Company Phone Contractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE O 01 foundation CJ 02 SF Dwg. ? 03 SF Additian ? 04 5F Porch ? 05 5F Misc. ? 06 Duplex ? 01 4-Plex ? 08 S-Plex ? 09 12-Plex ? 10 Multi. Add'1. ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace WORK TYPE 31 New 32 Addition ? 33 Alterations ? 34 Repair P" 15 Deck ? 35 Tenant Finish ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories length Depth APPROVALS Planning Engineering Basement sq. ft. lst F1, sq. ft. 2nd F1. sq. ft. Sq. Ft, tatal Footprint Sq. ft. On-site well On-site sewage Building Variance REQUIRED INSPECTIONS ? -Site VFooting ? Wallboard IYFinal Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Totai: vatLms;m: ? Framing 0 Draintile ? „ ?•,?. . .. ,?."?^ ? 16 Basement Finish ? 17 Swim Pool 0 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Census Bldg Census Unit Assessments ?4? 4 _0 ? Insulation ? Fireplace SAC % SAC Units ? . ._ _. . 4Ri/EY4R'S CERTIFIGATE HOMES eY cHasE ?40l/? ??yK I NGS CREST 892.3 - ?'"?- - 889.8 ,., N 892.1 890.9 N SB9.S p 100.00 S 896 22 34 E%t "' 994 ` .0 •' 89os ? r p 0 ? l BENCH MARK pqpp?0 H 7W OF IIp? DRIVEWAY 5 9 .7! ?? ?-"OENCH M11RK 70P OF PoP 1-4 22.33 ELEYs8??.7 ? ? 4 I ? 3 _? ? 6AR. ? , \ta? 0 L J ?" t+, " ` o- s. o (?°? 5•? J ( ? N t!"1 ? ? I ?T L? J n Q f I ? b PROPOSED - ? 0 -- `a HOUSE 3.67 896.8 , 2Q00 ? x 56.0 - ZO.I 1 896.4 L ? 894.1 ? R 4,y) 55.`) 8951 s` IG I( 4.4) ?? ( ?°15,f ? ?? I J? i ( f j ?rry ? L OT 'I ??t _, Lt E PL pRP1 µ??T PFR ?-- \ E,pBE 5 895. 1 x 903. I ?" i^ ? . - ? ? ? N T9 ?- ¦ `- 1p2?? ? I /_ I T [: NO !SlrlC SOlli INVESTGATION HAS lEEN COMPLETED ON 71Ni lAT Y ! TNE 3URVEY011. T!E l1pTASILIT'f OF ldlt TO EUMDRT TMC lrppFIC IIOIlgE pltpPMD IS MOT YN[ 11[lPONtIMLITY Of TYI[ SURKYOR i-- DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT 5ET 0 DENOTES IRON MONUMENT FOUND ' X000.0 DENOTES EXISTING ELEVATION (000.0) DENOTES PROPOSED ELEVATIOtJ N NOTE: BUIIDING pMENS10N5 SHOWN ARE PoR HORIZOHTAL 6 VlRQ? l?C- ATIDH OF STRUCT{lII? !?E ARCHITlRUAL RANf Id1 !t)It,CIN6 Ei fOUNOATiON OIM[NlIONS. SCAlE:1 INCH - 30 FEET PROPOSEO GARA(iE FLOOR -$95, Z FEET PROPOSEO LOWEST FLOOR - 0?bfi.L FEET PROPOSED TOP OF BLOCK -$q`.3 FEET WE HEREBY CERTIFY TO HOMES BY C HASE THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 1, Block 1, KINOS WOOD 5TH ADDITtON, cccadinq to the recorMd plas iheroof, pokoTa CounTy, M tnnesoto. 1T DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS DIRECT SUPERVI510N 7HIS I ST DAY OF S€PTDABER, 1892. ,_ -r x?,.l ?c i ?r Ela.(?7i[?i? aN i?.!?(y,?R.1NUt i':G.) ' ? 9 i0 Q W A 0 ,?„ tD O _ ? A ? N D 0 ? T ? p a m v?, n?, m R. HILL, INC. ?? JOHN C. LARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 1982$ James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 2500 W. CTY. RD. 42 0 BURNSVILLE, MN. 55337 & 812-890$P44 ***************************?*********** CITY OF EAGAN CASHIER: JS TERMINAL NO: 748 DATE: 08/21/00 TIME: 14:43:16 ID: NAME: GFNZ-RYAN PLUMBING & HEATING 3212 9001 1458 KINGS CRES 30.00 2155 9001 1458 KINGS CRES 0.50 Total Receipt Amount: 30.50 CR136158 USER ID: JAN L l SUBD. BL I CITY USE ONLY RECEIPT #: RECEIPT DATE: PERMIT # ?--fa 3 ol ? 2000 PLUMBING PERMIT (RESIDENTIAI,) CITY OF EAGAN 3830 PIIAT KNOB RD F.AGAN, 2M7 55122 651-681-4675 Please compiete for: ? single family dwellings ? townhomes and condos when pertnits are required for each unit ? backflow preventer for underground sprinklersystem FIXTURES EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: Pax? &'tok- 2I i q Fi?iSh $ 30.00 Bath tub $ 3.D0 x = $ Floor drain 3.00 x = $ Gas pipin outlet ' minimum -1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laund tray 3.00 x = $ Lavatory 3.00 x = $ S@ tic System naw/refur6lshed • requires MPC lic. 75.00 X = $ " Septic S stem abandonment 30.D0 x = $ RPZ new instellatioNrepairlrebuild 30.00 X = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwelling is under construction 3.00 x = $ Undergroundsprinkler ifexisfingdwalling 30.00 x = $ Water cioset 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under conswction 5.00 x = $ Water softener If existing dwelling 30.00 X = $ Water tumaround 30.00 x - _ $ State Surchar e .50 rotal -> -> -> -? ? Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. ------------------------- ? •eve ---••-------••-------•------------------------------•--•---------------------••------------------•-------------- t hereby acknowledge that I h read this appliption, sWte that the iMormaGon Is corred, arM agree to comply with all applicable City of Eagan oidinances. It is the appliwnYs respansibility to notiTy the property owner that the City of Eagan assumes no liablllty for any damages caused by the City during its nortnal operational and maintenance activkies to the facilities consVucted under this permit within City property/right-of-way/easement. SITE ADDR'ESS: ? OWNER N?kME: : l bY? ?? ?y TELEPHONE #: (AREA CODE) INSTALLER NAME: C'pCV1Z- lC?l.4?S,t/l TELEPHONE #: 1,f2i W-J' I I4Q ?n I(?-??" ??,? STREET ADDRESS: 1LJ? L.LS [ c? ]I/cx?l?f 12j- (AREA CODE) CITY: STATE: jSA-I\1 ZIP OF Use BLUE or BLACK Ink -Fa --Offi-ce--Use ~ I Permit Z~ 005 City of EaRon lIa I Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit 'Name: ~Q. 00 Phone: 3 RESIDENT / OWNER Address I City / Zip: ( (l s Applicant is: Owner _)C Contractor I Description of work: TYPE OF WORK ; g bO Construction Cost: Multi-Family Building: (Yes / No Company: &4h 4l d f 1 &A S+T CJi_0Pcontact: _P KA ( PC, t { 1 CONTRACTOR Address: P C) ce City: ~ ~ ; n I State: ~ Zip: ~ 03 ( Phone: U t a . a3 a O 2 1 License (g c4 L4 Q Lead Certificate i If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: NOTE: rPlans and supporting documents that you submit areconsidered 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 kmcates of underground utilities. www.aooherstateonecall,org 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and cedes of the City of Eagan; that I understand this is riot a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. P x Phi L Porto~ x Applicant's Printed Name A icant's Sig ature Page 1 of 3 Use BLUE or BLACK Ink r----------------� I For Office Use � � � Permit#:�<:/ / �fG'� j Clty of �a�� .��:�� Permit Fee: 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 i Staff: i -----------------� 2015 RESIDENTIAL BUILDING PERMIT APPLICATION �-�Y .� � [ Q' , Date: �P Site Address: _7r_� ' / ' �S Unit#: ��'�� a' a�"�' " � �^,� � �,��` ,�� Name: �. � ��',� Phone: �'��C�� vC7 �� Res�clent/,�`� �_ � -,� /��. � Address/Cit /Zi /`J� U`L.'.S � `Qwner �� Y P� � � �� ,�,.� � � ; � � �,� �� °�� `� '� � A licant is: Owner Contractor �.�,;, �,� PP� ��,� �, ,��' �t � � `� " � ' �' Description of work: '� i�ll '3� G�I,tJ �r v�� l� Type of Work ; ��„ £ �f;,� '��.;3. Construction Cost: `:> !i �1� Multi-Family Building:(Yes /No� �'�. � :�� ` �� } S"�� 7,• ��DiJ .St � Company:_ l '� �C Contact: ��1�' , � `��r `�'' ��'=s� ��` � J v ,� ✓ � �° y � � Address:,,�� },�%l�►'1�If71.� �(i.�� City: � � � � Contractor �� , � � ` �`�:s State:�Zi . 5/�' Y C .6` r� S �.5 p�J� Phone:��l� .� TO��EmaiL ��o � �- hcra.'�/.S/y7Gv7 �C � � j =' License#: �� Lead Certificate#: /v��'`� If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) � � .� ;'`��° .��" �f �� c S COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING '� I In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? I _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: NQTE Plans antl suppor#�ng dQ�uments t�at you subrr►�t are�co�►s�dered fo b�pubt�c�nforrr�at��t�� .oe ,o`s o�' �the inforniat�on a�b�cl`ass��etl as r�ori�pub%►c f you�provra�e�specrtic,re'�asorts= ha would permtf he��i�r a � �°� �,...E�� , � � �� '`GOncl�de3�thaf}tMe`" are'��rade,�ecrets � � '"��' � �'�� . .��. �� u F# �n .• �� .;.�` �.��. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4540002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qoaherstateonecall.orp I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permi�ance. :. _. .._ .- _ � �... 'l-- _. � X '�G1 � f� �'.S s/7C'I°� �`X ApplicanYs Printed Name ApplicanYs Signatur Page 1 of 3 Use BLUE or BLACK Ink r----------------� i For Office Use � I � ' � Permit#: I Clty of �� . � � � Permit Fee: � 3830 Pilot Knob Road j � Eagan MN 55122 � Date Received: � Phone: (651) 675-5675 � � Fax: (651) 675-5694 L Staff: ______________� 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ,J '� ` �� Site Address: �7 5�� /��R�q�` �?��S"f" Tenant: Suite#: - � � ��_. �,. } Name: Phone: �- „ - Address/City/Zip: � , �j, � � b ;L , �v Name: �� /�� l LLI��! d'LaP i �icense#: O 6 7 �(Q f ��_ - ��T �� Address:�� /�� ^'� �li Ciry: �a�CD/i% �� , � _ E i.� 4ii��,'� `� State:�Zip:—�� I Phone: �..�102 -�l�-� �c2�� c � Contact: S--P� '� Email: �'•'�,� � " 3= ' � � - New Replacem t Repair ebuild _Modify Space Work in R.O.W. � � — — — � � � x1� � � � �� =$ = Description of work: � G'L . �. L`� �( �� .� - �� = � RESIDENTIAL ��_ �K _ � �.--� ��- " .S: � ��=v �'y� �� = Water Heater � �. �� Water Softener LL = Lawn Irrigation(_RPZ/_PVB) �� Add Plumbing Fixtures�Main/_Lower Level) �� .. Septic System � �- E Water Turnaround �� _ _New Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes$5.00 State Surcharge) #'Water Turnaround(add$200.00 if a 5/8"meter is required) $7 75.00 Septic SVStem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) TOTAL FEES $ 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.qoqherstateonecall.org 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 w' t a roved plan in the case of work which requires a review and approval of plan �, � t a ` _. .._ �� 2 � %'`� -�=-�-- X X canYs Printed Name Appl�it's Signature � , � _ �y � _ T_ . _ _ ___ __ �� . : .,. �.. _� , _ � . . , � Q & � � _ � �� _ _ . ��:t.Re.��; �= _��.n �. _ _. _�� ----.—..��: r � ` �. ,, � � _. _ _.,� . . , . Use BLUE or BLACK Ink r----------------� I For Office Use � I ��J � 1 C��7 O� �ln�n� � Permit#: � � i,'�Q u � � 4 J I Permit Fee: � 3830 Pilot Knob Road j� Eagan MN 55122 � Date Received: � / /� I Phone: (651)675-5675 I I Fax: (651)675-5694 � Staff: I � � -----�� ; ------------ � � � 2015 RESIDENTIAL BUILDING PERMIT APPLICATION �� Date: `� �� Site Address: , �l S b K l��S �1��'C Unit#: �� Name: �� 5� �'f�!i"V�-�,1.�'�'� Phone: L,t2�- �i,�--3 b 2� Address/City/Zip: 1�� l� �S-S �� f � Applicant is: Owner ��f Contractor —' , , Description of work: �{1 1�---1-�'L� V� �Llr � �� , i��r Kr�� +"��t ', __._ --- `�— uction Cos� � �cJ � � Multi-Family Building: (Yes /No�) I� __ ._.. Company:�i FLD l,..F' � ��i��N",� 1-�Contact: �V�--0�/ ��.��-�_� Address: 3�� 4J�N S WV� ��1� C�ry: � 1' �VL:�. State: Zi 5`� Phone: ��2--b �� DJ �.� �1� � �' �b �" Email: �?I . rr�c_o�.J� . �'z--� License#:�j L b3�"��2 tead Certificate#:N �JC' �� S 2� y` If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) �3�� ,a��r-�N gz COMPL�E THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING � In the last 12 months, has the City agan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of mas an: Licensed Plumber: �U�v� � ��t'�1 � ph Z � � ` �' � �� Mechanical Contractor: �1� �1�j ��' I I'�fT Phone: ��_ ��' l ^ � �� _---- Sewer&Wat�r Contractor: -- "� �� Pho • 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.qoaherstateonecall.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 Min ta State Building Code must be co leted within 180 days of permit issuance. X C�t�v.� S-�_� �___-- X ApplicanYs Printed Name gnature Page 1 of 3 DO NOT WRITE BELOW THIS LINE a CaS�p - SUB TYPES � �� `�� C/��S'�" � �F'°undation Fireplace Porch (3-Season) Exterior Alteration(Single Family) ✓ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of Plex Lower Level Pool 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 a., Valuation � Occupancy ,�QG - MCES System �-' Plan Review � Code Edition /"� SAC Units — (25%_100% ✓ ) Zoning �— ! City Water — Census Code ��Y Stories ""' Booster Pump ^ #of Units / Square Feet '— PRV #of Buildings � Length �' Fire Suppression Required � Type of Construction � Width � REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final /C.O. Required Footings (Addition) � Final /No C.O. Required Foundation � HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final � Framing Drain Tile Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick � Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Other: Reviewed By: , Building Inspector RESIDENTIAL FEES �3� /�'�y �� y�l p�O � II � T� Base Fee Surcharge Plan Review 7 G �-- MCES SAC City SAC Utility Connection Charge S8�W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3