1462 Kings Crest
Use BLUE or BLACK Ink
W E ; For Office Us/eJ - ~ - I
FE3
non j Permit
City of EaEd D rill c2-71'71
~dir-1l 3 2010 C~b I Permit Fee_ 1
3830 Pilot Knob Road
Eagan MN 55122 ; Date Received: j
Phone: (651) 675-5675 I /1 I
Fax: (651) 675-5694 ; Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION "
Date: 4 ''Z?' 2au_> Site Address: 146Z 1:QhK5 CP6.S'T /0
Tenant: Wes! 91 M'u•/ 001,04045- Suite
RESIDENT /OWNER Name: iiuprg 4 MV k 4,N5- Phone: 405"I L 52-
Address / City /Zip: &7, ~&r,,`J C12E5a
Applicant is: X Owner Contractor
TYPE OF WORK Description of work: &6T1Q(NNP
• 11 Multi-Family Building: (Yes / No AY
Construction Cost: VI T59
CONT TOR Name: SQ License
Address: .,31D) 'E • ROt4~ City: V t)r_ I' V 1,UI.E,
7 State: P^I Zip: Phone: 4ra - ON 14VO-)
Contact: K Email: GNe)57180 P'M01S. '('VM
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 S Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit am 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.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 with the approved plan in the case of work which requires a review and approval of plans.
X W&I#* TTVA1 A4,)V9- x
Applicants Printed Name Applicant's Signature
Page 1 of 2
DO NOT WRITE BELOW THIS LINE
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 7 ~ Occupancy MCES System
Plan Review Code Edition 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 I Y1, Width
V 1-/
j REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.Q. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: Footings _ sir/Gas XFinal
Framing Siding: -Stucco LaLn -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Meter Size: Radon Control
Erosion Control
Reviewed By: 1 , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge J
Plan Review
MCES SAC
City SAC Ll/ / l I
Utility Connection Charge
S&W Permit A Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
A
POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS
Address: 4--17Z. 6j4e.j c-iZ,~5-~Y
Applicant Name: /1 y u "A, e,
GENERAL INFORMATION
x ¢
o z ¢
❑ ❑ Applicant name and contact information
Ld ❑ ❑ Property owner name
~X ❑ ❑ Address of property
❑ ❑ North arrow, scale (1" = 30' or 40')
❑ ❑ Site Plan, drawn to scale showing location of house, pool, and other existing or proposed
structures, including retaining walls.
/EJ ❑ ❑ Location and name of all streets adjacent to property
❑ ❑ Directional drainage arrows (existing and proposed)
ELEVATIONS
Existing
❑ ❑ House corners
❑ ❑ Property corners
JU ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height
Proposed
❑ ❑ Finished pool deck corners
/11 ❑ 0 ❑ Top of proposed retaining walls (if any) and at each different elevation (if it changes)
Jd" ❑ ❑ Pool bottom (or max. depth)
DIMENSIONS
Existing
)J ❑ ❑ All property/lot lines
❑ ❑ All Easements on the property
Proposed
❑ ❑ Pool
❑ ❑ Pool plus integrated deck/patio
❑ /pr ❑ Shortest distance from outside edge of pool deck to lot lines and house
Reviewed:
m Date
GTORMS/Pool Permit Checklist/02-13-07
* * ~c 2422 Enterprise Drive
PIONEER LAND SURVEYORS -CIVIL ENGINEERS Mendota Heights, MN 55120
-1K engineering,.. LAND PLANNERS* LANDSCAPE ARCHITECTS (612) 681-191
Certificate of Survey for: OZMUA 5UILO S5 1 INC. •
GYes
House Address: Kin45.
Model Name:
e7T
/~j89°34) 54"E
ti
~ o
to
S ! 4w ~ ~ vF ~o•p I 9
f 0 to
0 1 J p e` %5 tV
y 12 ° 12.013 -.10.0 o1 ct,6,7 pWatoS V o ! 3
r IV. eA rb.:~S O
r, ~o-Y~qe 1 N F a 0 4:p TZ)
b~byr ~O
a~
I
J,
ry
C, S~~id~i0 _ 1
LA(iAN IvNGINEEKiNG DENT.
~0) Ld
• goo.o Denotes Existing Elevation - -
. soo.o Denotes Proposed Elevation Lt+r t Z
Denotes Drainage & Utility Easement
Denotes Drainage Flow Direction Top of Block Elevation: $99.63
---o-- Denotes Monument Garage Slab Elevation: :394.3
---B Denotes Offset Hub Bearings shown are assumed
LOT BLOCK I KIN&5 WOOD 41-1 ADD' fl.
D AICOTA COUNTY. MINNESOTA
I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am duty Registered Land Surveyor
under the laws of the State of Minnesota. Dated this day of t /`U,Q rd _ A.D. 19 9Z , -,Z
Scale: 1 inch- 30 to-at ROBERT B. SIKICH L.S. R$ . NO. 1489
INSPECTION REC(JRD Control No. 1186
CITY QF EAGAN PERNfIT TYPE: Oui i i' x"a
3830 Pilot Knob Road Permit Number: 0016li4
Eagan, Minnesota 55123 Date Issued: 10/ t b/9 2
(612) 681-4675
SITE ADDRESS:
14 +o ;.' K1'Nb"J [;RE S'f
K TfVHS WOOl] 4
PERMIT =c?? UBTYPE:
•,•;??
APPLICANT:
UXMUN BLDlZS IMC
c612y 43t-60#6
TYPE OF WORK:
NEW
MO Zl1TERiON Ws3RV
[1USCRIP1'lOM
ftfMAItKSr FtECEIPI' ! S'tRUCTU1tE UMRY .. OOfS Mtft 110GI.EIAr IM1'kRIU{R U1Nf'?
Permit No. Permit Holder Date Telephone ?k
SIW
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Oete Insp. Commerts
Fooiings I ? 2,
Foundafion
Framirtg
J
Roo"
Rough Pibg.
Rough Htg.
lsul.
Firepisce
Final kftg.
OreBt Teai
Final Pibg. Pibg. lnspector - Notify Plumber
Const. Meter
EngrJPlao
Bldg. Final
Deck Ftg.
Deck Final
Wefl
Pr. Uisp.
5 ??? ?
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD ? EAGAN, MINNESOTA 55122
DATE ? 1 "` 19 ?
J
pECENEO ' -
FROM tL .? J 4 t' L _ ?:
?
AMOUNT ? $ (
& DOLIAHS
,ro
O CASH CHECK
FOFk • ? " ?: ) ? ?'"'? Ir , ? ' i F? ? --_
`=-r-?=T---?-
-
rmu-rna t;opy
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE
WATER PERMIT # SEWER PERMIT # ' '• ? ?'?`
METER # B.P. RECEIPT #
READER # B.P. RECEIPT DATE ?/12/?1
METER SIZE
ISSUE DATE - PRV - BOOSTER PUMP
SITE ADDRESS
LOT BLOCK SEC/SUB
APPLICANT: PU i LDF}' S
ADDRESS: ?
CITY, STATE ? ZIP
PHONE:
PLUMBER:
ADDRESS: CITY, STATE ZIP •
PHONE:
OWNER:
ADDRESS:
CITY, STATE ZIP
PERMR REQUESTED
? SEWER ? WATER - TAPS
- COMM/IND - RESIDENTIAL
- NEW - EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINAMCES:
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. POR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE -WATER PERMIT # SEWER PERMIT # 1L55(1
METER # B.P. RECEIPT # -? ; -7 -< .
?b ? fT 9 D.'9i G g.P. RECEIPT DATE 02/121
METER SIZE 4?g. .vSu S
ISSUE DATE - PRV - BOOSTER PUMP
SITE ADDRESS ? I' T rlr •- LOT _BLOCK SECiSUB 4-j 1-1
APPUCANT: 3J; LDERS.'?-
ADDRESS: 1- ? ? GAt..AX T r ^:?1 ?
CITY, STATE ZIP
.. ..?.,_
I PHONE:
PERMIT REQUESTED
XL SEWER X WATER - TAPS
- COMNIJIND X RESIDENTIAL
X NEW
EXISTING
'i PLUMBER: V L 1 ii r_
ADDRESS: I AGREE TO COMPLY WITH CITY OF
CITY, STATE ZIP EAGAN ORDINANGES:
PHONE:
, ?• ?*
OWNER: r. „i; $ [
ADDRESS:_
CITY, STATE
PHONE: _
SIGNATURE WHEN TER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORAA SEWER PERMITS, CONTACT
ENGINEERING DEPT.
ZIP
, CITY OF EAGAN {
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 2 010?
PHONE:681-4675 BUILDING PERMIT Receipt # . , •
To be used for '4SF Di1C/CAR Est. value =16A+? Date FEB 12 1g?i2 ?.?
Site Addr&ss 1401 KiNGS CRE
Lot 8 Block i Sec/Sub.
Parcel No.
Name vc,nun o".uua am
wAddress 15136 GAI.AXI B AVF
? C4 APPLE YALLEY MR Zp 55124
C?Y -
PhOfl@
Zp
I hereby acknowlege that I have read this application and state that the
information is correcl and agree lo compjy with all applicable Slate of
Minnesota Statutes and City oi Eagan OPd(nances.
Signature of Pertnitee
A Building Permit is issued lo: CZ'1UN BL[??tS INC
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 OHicial ,
OFFICE USE ONLY
Occupancy R-3 K=1 FE ES
878
00
Zoning R-1 Bldg. PemiR .
(Actual) Const Y--N Surcharge $4• oo
(alowable) Y=N plan Revlew 570.00
# of Stories 5.00
Length a ? L??
Depih 28' SAC,City 100•00
S.F. Total - SAC, MCWCC 700•00
S.F. Footprints - 675.00
On Site Sewage _ Water Conn
On Site Well Waler Meter 95.00
MWCC Syslem X
x
+?• ?Pogit ???
Ciry Water 30.00
PRV fiequired - S/W Permit
Baoster Pump --- S/W Surcharge • 50
300.00
Treatment PI
APPROVALS Road Unit 380.00
Planner
C
il - park Ded.
ounc
BIdg.Of(. --
_ Copies
Variance - TOTAL
3,847.50 1
Permk No. Permit Holder Date Telephone #
sFw
PWMBING 107-y63
HvAc ; iq s - ys3 a.
aFCrRic ?/
ELEcTRic
Mspectia, nate lnap. con,m.ntg
FooGngs I
Foundation ?
Framing
Rooling
Rough Plbg.
Rough Hig.
[Sul. 3-z? sz ?
Fireplace
Fnal Hfg. !r ?
Orsal Test
Final Plbg• --?v (y Plbg. Inspector - No6fy Ptumber
Conat. Meler
EngrJPlan
Bldg. Final ? • Z us
Dedc Ftg.
DedFil
6
1 I
O
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
?/[ r?? ? 3830 PILOT KNOB RD - 55122
7v 651481-4675
lew Canstruction Reauiremants
3 registered site surveys showing sq. ft ol lot, sq. ft. of Iwuse; and all roofed areas
(20% maximum lol coverege allowed)
2 copies of plan showing heam 8 window s¢es; poured found design, etc.)
t set af Eneyy CalculaAOns
3 copies of Tree PreSenation Plan if lol platted after 711l93
Rim Joist Detail Options selectian sheet (bldgs with 3 or less units)
474 ? s-
c
.* 5-1-0l
RemodellReoair Reaulrements ?
2 coPies W plan ?
. 1 sel of Energy Calculatiom for heated additions
?. 1 site survey for cclerior addiGons & decks
• Indicate if home served by sepUc system for additions
)ATE 4 t ?)01QI VALUATION L?300.00
108 SITE ADDRESS I4(oa1 K1eUS Gf'Q,S? EaQQ,YI M? rJ' Sl.ZoZ
J?
P MULTI-FAMILY BUILDING, HOW MANY UNITS?
'ROPERTY OWNER Wij l 1(A YYl YI . UOYlA.h U U
'YPE OF WORK T/lStaI Iation o-P Ahove, Groonti POO I IREPLACE(S) ?0 _1 2 _3
4PPUCANT 1NiI Ij(IYn ri .RpYIo_ht.)e,, PHONE# (05I'+5A -q095
kDDRESS I+-a(oa, in0?5 C1"CS? ?AA0.r) MA? ZIPCODE ?laa
'AGER #
CELL PHONE #
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1 RP
(check one) - Residential Ventilation Category1 Worksheet Submi
- Energy Envelope Calculations Su6mitted 0 Z U
MINNESOTA RiTI.FS 7672
New Energy Code W orksheet Submitted
Plumbing Contractor: _
Plumbing System Inclucles:
Mechanical Contractor:
Mcchanical System Includes:
Sewer/Water Conhactor:
_ Water Softener _
Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
uu
9?3
By _____
Fee: $90.00
Fcc: $70.00
UI above information must be submitted prior to processing of application.
hereby acknowledge that I have read this application, state that the information is correct, and agree to complywith
511 applicabVe State of Minnesota Siatutes and City of Eagan Ordinances.
Signoture of Applicant
;ertificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Phone
Lawn Sprinklcr
No. of R.I. Baths
Phone #
Updated 1101
OFFICE USE ONLY
7 01 Foundation ? 07 05-plex
] OZ SF Dwelling ? OS 06-plex
] 03 01 of _ plex ? 09 07-plex
] 04 02-plex ? 10 OS-plex
] 05 03-plex ? 11 10-plex
] 06 04-plex ? 12 12-plex
IW 31 New 001115? 6A6w•p-i35
] 32 Addition ? 36
] 33 Alteration ? 37
7 34 Replacement
? 13 16-plex
? 16 Fireplace
? 17 Garage
? 18 Deck
? 19 LowerLevel
Plbg_Y or _ N
PU 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Eut. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
Int Impravement ? 38 Demolish (Interior) ? 44 Siding
Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
Demolish (81dg)' ? 43 Reroof ? 46 Windows/DOOrs
*Demolition (Entire Bldg only) - Give PCA handout to appficant '
??
laluation 3oao Occupancy /2-- 3 ' MC/ES System
;ensus Code - J1 Zoning /?,-L City Water
iAC Units ?. Stories Booster Pump
46r. of Units ? Sq. Ft. PRV
dbr. of Bldgs / Length Fire Sprinklered
"ype of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinallC.O.
_ Footings(deck) V FinallNo C.O.
_ Footings(addirion) 4
_ p]umbing
_ Foundation HVAC
Drain Tile
Roof _ Ice & Water Final Other
_ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Air TesY _ Final _ Siding Stucco Stone
Insularion _ Windows (new/replacement)
3ase Fee
>urcharge
'lan Review
dC/ES SAC
:ity SAC
Nater Supply & Storage
i&W Permit & Surcharge
-reatment Plant
llumbing Permit
Aechanical Permit
.icense Search
;opies
Aher
fotal
Approved By ??, Building Inspector
------------------ ------ --------------------------------------------------
?'?41,
02.3 d C?? ??
DATE: FEB 19. 1992
RE: 1462 KINGS CREST (OZMUN BLDRS INC)
XX Your Sewer & Water Permit for the above property has been completed. It will be held aT the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
_ Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
- Your Sewer & Water Permit for the above property has been compieted, but the meter cannot
be Issued or occupancy allowed until further notice.
- COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by 8ill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTIIITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVEIOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
Address: 1462 KIIVGS r-REST Lot g Blk I Sac/Sub
These items were/were not complete at the time of the final 142spect
Date•5/11/qZ Yes No Jnsppctor,
Final grade (6" from siding)
Permanent stepa - garage ??
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass f
Trai1/curb damage
Porch
Basement finish
Deck
Pleasa varify vith tha bulldar the removal of roof tast caps from tha plvmbing
system and tha shut-off of watar supply to the outside lawn faucet before?
freeza potential exists.
White - City copy Yellow - Resident copy Pink - Contractor copy
CITY OF EAGAN NO?O ? OO
3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 661-4675 Receipt # ? 6
_1
Tobeused(or 'SF DWG/GAR Est.Value $168,000 pate FEB 12 , 1992
Site Address 1462 KINGS CREST
Lot g Block 1 SeclSub. KINGS WOOD 4TH
Parcel No.
Q
w
0
Nyme OZMUN BLDRS INC
AddIESS
Ciry _
Phone _
Zp
? Nazne s[LME
? Address
? Cd/ ZiP
Phone
? License # 0001044
I hereby acknowlege that I have read this application and state that Ihe
mlormahon is correcl and agree to com wilh all apphcable State of
Minnesota SlaWres and Ciry?, E?a/9?n O- anq?i ??
Signature of Permrtee , ?`?" C
A Building Permn is issued to: OZMI.IN RLLIPS INC
on ihe express condition that all work shall be done in accordance wdh all
applicable State of Min?n?es?o?t?a p I1Statu?lIes ayn?d, C,Iity of Eagan Ordinances.
BuildingOffiaal { ?,K2(J(1 91lA ( ??11I
? ?--
APPLE VALLEY MN
OFFICE USE ONLY
FEES
occupancy R-3 M=1 g7g
00
Zomng R=1 &d9. Permit ,
(ACtual) Const V=N Sumharge 84.00
(Aliowable) ,/-N plan Reviqw 570.00
# ol stories 5.00
Lengih 2 ' Lioem
oePm 2W snc, ary 100.00
S.P. Total - SAC, MCWCC 700. 00
S F. Footprints -
675
00
On Site Sewage _ Water Conn .
On Site well - Walar Meter 95.00
MWCC System X
Ciry Water ?t. Oeposit 3?1-00
PRV Reqwred - S/VJ Permit 30.00
BooslerPump - SiWSurcharge .50
Treatment PI 300.00
APPROVALS qoad Unit 380.00
Planner - park Ded.
CounGl -
BIdg.011. _ CoDies
variance - 70rnL 3.847.50
.3/.3 9.; z -- /1/1W v 7's'
? 6 853 ? ?p dh ';Vj? ov
Request Da?e
? "? Fre a Rouqh-in Inspectian
Reqmr
? Ready Naw AI Notdy Inspeclar
When Reatl
9
I
? ?
? ? es E No
y
l
i
l
k
t
I=K
d
t
h
t
t
f
b
ove e
nca
wor
a
:
cense
con
ractor 7 owner
ereby reques
inspec
ion o
a
ec
Job AoOress (Stre/et. Box ar Rowe No
? Qty
(p L r
J & 6
Section No Townshi0 Name or No Range No County
Occupanl(PRINT) NJ
> /
?
? Pho'n/e No
+. . ..
.
:
t
Power Suooher Aaoress
Eleclncal G Irecto: Co pany Name)
C Conhaclor License No
iri IL t' b
MaiLnq FOtl:ass IConVacror or OW?ner3"'akmg InstallaM1On?
?
?
' / f 2 ?a .? c?csu a.i
z
-
Aulhonx igna Co tlor,Owner Making Inslall?gljion) PM1One Number L (
-7 K'f_ VV??
MINNESOTqSTATE BOARO OF ELECTRICITV THIS INSPECTION RWUEST WILL NOT
Grigga-MVT ay Bltlg. - Foom 5-1I3 . 9E ACCEPTEO BV THE STATE BOARD
1821 Umvereity Ave., St PauL MN 55100 UNLESS PROPER INSPECTION PEE IS
VhoneJ612) 692-0800 ENCLOSED
?/•?/g?, REQUEST FOR ELECTRICAL lNSPECTION
'y ? See inslmction=_ lor completmg Ihis form on back ot yellow copy
9 (; 7 RS "? "X" Below Work Covered by This Request
?,i'aQ E6-00 1-08
v ?dtl .ReB. rypeofBmlding ApphancesWVed EqwDmentWued
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt emlding ryer Other (Specdy)
Comm /lndustrial Furnace
Farm /Air Condrtioner
Olherlspecityl CanVaclors Rema:ks
Compute Inspecfran Fee Below.
0 Other Fee # ServiceEntranceS¢e Fee # Circuns/Feeders Fee
Swimminq Pool 0 to 200 Amps ? 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Sgns inspecmr's Use Only, OTAL ?
IrrigahonBooms ei,c'?
Special InspecLOn
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 NTHS.
I, the Elecvical Inspector, hereby Rougn-in
2 Z
oeie/
cernfy that the above inspection has
been made. oal a c/
A /
OFFICE USE ONLY ?
This reQUest vmtl t8 monIDS fmm
? 5 0 61. k 4 t-V, /y3
Vo
?
Request Date
Fire
No. Rough-in Inspenion
epv
qa
p Reatly Now ?I NoMy Inspector
v
n R
atl
Wh
Ves G No e
e
Y
I; licensed contractor I;k/O-Wner hereby request inspechon of above electrical work at:
Job Address (Streel Box or Roure No )
/'? Qy
/
?
6 \A v- y
SeMmn No Township Name or No Range No Couny
Occupant (PRINT) Phone No
l.) rn- ?1 na ue-
Pawer Supplier Atltlress
Elednca ConVacror ICOmpany Namel ConVaclor5lwense No.
?vn s
Mailing ACtlress (ConVactor or Owner Makmg Installallon)
oJ?
Autnm e i9^atur o 1 er Meking In aLOn) Phone Number
4?5a -Fos?"
NINNESOTp STATE BOAFD OF ELECTRICITY THIS INSPECTION REOUEST WILI NOT
Grigga-MiOway BIEg. - Foom S173 BE ACCEPTED BY THE STATE BONRD
1821 UnivMlty Ave. St Peul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(61Y)642-0000 ENCLOSED
CK ] 00-25 REQUEST FOR ELECTRICAL INSPECTION eaooomaa
a? 3
? See msimqi0ns for campleong thw farm On Oack o1 yellow copy
C3 4 5 0 61 °X"Below Work Covered by This Request ?.,??? "'Ya r( 93
ew Adtl Rep Typeaf8mldmg AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other-(Specily)
Comm./Industnal Fumace
Farm Air Conditionef
aner iwiscM1 Controcto15 Remai'.cs I
3 Se4soq o
Compute Inspection Fee Below:
# Other Fee # Serv¢eEntrence Size Fee k Circwts/Feeders Fee
Swimming Pool 0 t0 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 700 _ Amps
Signs insoecors use only TO7AL J4>
Irriga4on Booms '=50
Speaal InSpection
Alarm/COmmunwanon THIS INSTALLATION MAY BE ORDERED,DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTH.
I, the Electrical Inspector, hereby ROUgh-in ' Date
certify that ihe above inspection has
been made. F,nai /? L _
' (?--?-•? oaL ?
t-
OFFICE USE 3NLY
This reQuest voiE 18 months irom
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
CArl.?.f y/,;. ,o?
New Consiruction ReauiremeMs RemodeVReoair ReauiremeMS FHfice.USe L3nt4
3 registered stle surveys showing sq fl of Id, sq fl o( house, and all roofed areas 2 copies of plan Certal5cuvey Recd „_ Y,_,. N
(2D%maximumlotcoversgeallowed) 1setofEnergyCalculahonsforh?tedadditions FEfiBPY08Pt?nR2ctl _Y _N.
2 copies of plan shaxing 6eam &window sizes; poured found design, etc 1 site survey fa addnions & decks Trab Pm RGptlit2d Y,,,,,Id
1 setofEnergyCalcula4ons Addifion - indicateiionsrteseptKSysfem t7f[-sikSepticSyslerA _Y _N
3 copies of Tree Preservahon Plan if lot platled aNer 711193
Rim Joisl Oefail Ophom selectrort shee( (bmldngs wtlh 3 ar less untls)
Date 9 / o"' /
Site Address d5 Construction Cost 49 /tF
Unit/Ste #
Description of Work _ s/? .w.,?.., n•, c. Y' G' G.-..v'?
Multi-Family Bldg _ Y k-N Fireplace(s) ?0 _ 1 _ 2
PropertyOwner erY/ 00 n a/I &y.e Telephone#(,?S'/
Coutractor
Aaaress
State LZi,..,
.
Zip 15 5-0 Y I city MLe_/--
,T
Telephone #( 66-1 ) Y b o ??7
COMPLETE THIS AREA ONLY IF
A NEW BUILDING
Energy Code Category - MinIlesota Rules 7670 CategM I _ Atinnesota RWes 7672
(J submission type) • Resldential Ventilation Category 7 Worksheet • New Energy Code Worksheet
Submitted Submiried
• Energy Envelope Calculations Submltted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber 4!-0 Q e7
CC ?
Mechanical Contractor (
Sewer/Water Contractor
Y_ N If so, 25°lo plan review
Telephone#(65]) 9a! -/!Yj'
Telephone #( 1' ) 1` 14
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 pernut, but only an application for a permit, and w ? ? a
rmit; that the work will be in accordance with the approved platt in the case o£wprk ir?equ?e? a nd
pe
approvalofplans. APR 0 7 2005
,/ UU
Appli nYs Printed Name pplic Ys Signature y
OFFICE USE ONLY
Sub Types
E3 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Muiti
? 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 14;? 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 Irrterior ? 44 Siding
? 32 Addition ? 36 Move Bwlding ? 42 Demolish Foundation ? 45 Fire Repair
A.33. Alteration. ? 37 Demolish Building• ? 43 Reroof ? 46 WindowslDoors
? 34 Replac'ement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation ^L.
QCe d Occupancy ?. MCES System
n
Census Code ?JT Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const ii?6 _ Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) :jC FinaUNo C.O.
_ Footings (addirion) Plumbing
_ Foundation K, HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_X Framing _ Siding _ Stucco _ Stone _ Brick
Fireplace _ R.I. _ Air Test _ Final _ Windows
?c Insuladon _ Retaining Wall
?
?-L
A
pproved By: , Bu ilding Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utiiity Connection Charge
S&W Pertnit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
L?, l?_ 4e' ??
? 7 4,11- -
& 099
, 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.
fd ?? ??. 09 ?-o ?1 S
?
/
e
50 reJ-1-
Sk
Stre
ress I
j Unit #
?.._ ? ,.i_ I ?
Property Owner ?n ?,, ,-. /1 . , i ? . . ?. I .
Telephone # ( )
G
'
" ??3J? 11
Contractor
?-? 1 Telephone #
j) Y `I
+
??c?
I.l
Address t? ?- f?'(?YYWYI- City I _U..X,?Y ?
'ULI Y? i1?' State? Zip f?_%4k
C
The Applicant is: _ Owner
?`GOntractor _Other
Alterations to existing dwelling $ 50.00
X Add plumbing fixtures (excludes water softener and/or water heate r--complete next
,
section if installing these appliances).
_Septic System Abandonment
_ Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
f__?11
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 not 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.
Ela 1 Stl r-------..,-
ApplicanYs Printed Name ApplicanYs Signature
APR w i '.w::= I!
??o ?
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when pemuts aze required for each uuit
-W :3U5"
?0 tk.no, o`?7p?
Date Z4
Si
Add
t?A it #
1 C re
?? U
I<Jr1L
ress
te T?
n
_
Property Owner - Telephone # ( )
Contractor C'??f' 1
St
tAdd
I`-i?? ! Ci
R l J
'
f10- t
? m1 11
ree
ress Ty
Y
-
?/
l)l/
State 1" 1 I V ?
Tele
hone# (&
Zi
51 ) T! I
p
p
,
Bond #: ? dI Ex
ires:
p
The Applicant is _ Owner V?,Contractor _ Other
Add-on or alteration to esisting dwelling unit $ 30.00
furnace _Additional _Replacement
air exchanger
air conditioner
otner ? 11S1u1I
$ New Replacement
a?UI???l I?S ?i 1 4?'?1"lA,i?4'1 (}? ?XIS?'I(Y?
,
r
ial1 11 R f Y'15} l ?cr+ ? 4"1 1`Yl
State Surcharge $ 50
Total S
I hereby apply for a Residential Mechanical Permit and acknowledge that the informalion is complete and accurate; that tLe work will
be m conformance with the ordinances and codes of the Ciry of Eagan and wi[h the Mechanical Codes; that I understand this is not a
pernat, but only an application for a permi[, and work is not to start mthout a permit; that the work will be in accordance with the
7 d plan in the case of work which requires a review and approval of plans. ?
LIA
1"lV-15t1
Applicant's Printed Name Applicant's Signatwe
L L/«_?? ?
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for commerciaUmdustnal buildings
multi-family buildings when separate pennits are not required for each dwelling unit
Date
Site Street Address Unit #
Tena»t Name (if apptica6le) Previous Tenant Name
Propcrty Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is Owner Contractor Other
Work Type
_ New Construction _ Underground Tank _ Install _Remove **see below
_ Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
"*When insialling/removing underground tank, caff for inspection 6y Fire Marshal and Plumbing Inspector
P¢I'Nlt FQC3: $?O.SQ UnAergeund tank insiallation/removul
$50.50 Minimum (inciudes Stste Surcharge)
OC
Contrac[ Value $ x I% _ $ Perntit Fee
• If perntit fee is $1,000 or leas, add $.50 =4> $ State SurcYiarge
If nermit fee is over $1,000, add $50 for
every $1,000 nermit fee $ Total Fee
1 6ereby apply for a Commacial Mechanical Pemut and acknowledge [hat the information is complete and accura[e; that the work
will be in conformance with the ordinauces and codes of the City of Eagan and with the Mechanical Codes, that I understand this is
no[ a permit, but only an application for a permit, and work is not to start without a permit; [ha[ the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
Applicarrt's Printed Name Applicant's Signature
Approved By: , Inspector Date:
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55722
?J U l 651-681-4675
New Constnuctlon ReauiremeMs
• 3 reg"stered site surveys showing 5q. ft. of IoL sq• ft. M house; and all roofed areas
(20°/a maximum lot croverage allowed)
• 2 copies of plan shawing beam & vrindow sizes; poured found design, etc.)
. 1 set of Energy Calcula[ions
• 3 wpies of Trce Preservation Plan rf lot plattad afier 711/93
. Rim JoislOeWg Options selecdon sheet (bldgs vrith 3 ar less uniGs)
DATE
'S- 2Z- b z-
SITE ADDRESS
TYPE OF WORK (P.?d?F IZ2 Jct? ? ?-
SELA pOOFING & REM1AODELINQ, INC.
APPLICANT '?100 EXCELSIOR BLVD.
-ST. kBHlaf'AFlIFAATS5496
STREET ADDRESS ID #0001050
TELEPHONE # CELL PHONE #
MULTI-FAMILY BLDG Y N
FIREPLACE(S) _ 0 _ 1 _ 2
STATE ZIP
FAX #
PROPERTYOWNERI<(?U 1c7V1ccYW2? TELEPHONE# ?{SZ-?'JQ?'1S?
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I MINNESOTA RULES 7672
(q submission lype) • Residential Venlilation Category t Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
Air Conditioning
Heat Aecovery System
ree: $90.00
Fee: $70.00
Phone # ?? 17 ? C I I?
p MAY 2 2 2002 ?
---------------------------------------------------------------------------------------°----
I hereby acknowledge that I have read this application, state that the information is co ect, and agree to com ly
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. By _
Signature of Applicant 41'(1& 11A
._______---------- -°--°--------- --__--°------------------------------------------ --°°°------------- --°--------- ----------------°----
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
WaLer SofLener
Water Healer
No. of Batkis
RemodellReoalr Reauiremenks
• 2 copies of plan
• 1 set of Enertgy Calculations for heated additions
• 1 site survey tor exterior addifions & decks
• Indicate if home served by septic system for atlditions
VALUATION t -723 S-. U-ZD
_ Phone #
L,awm Sprinkler
No. of R.I. Baths
Phone #
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) O 33 Eut. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Clamage
O 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ p]umbing
_ Fommdarion HVAC
_ Drain Tile Other
Roof _ Ice & W ater _ Final _ Pool
Ftgs
Air/Gas Tests Final
_ Framing _
_
Siding Stucco Stone _
_ Fueplace _ R.I. _ Air Test _ _
Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
C ity SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search.
Copies
Other
Total
INSPECTION RECORD Control No. 1186
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 001604
Eagan, Minnesota 55123 Date Issued: 70(15 / 9 2
(612) 681-4675
SITE ADDRESS: Ln T: s s Lo G Ka 1 APPLICANT:
1462 KINGS CRES7 OLMUN BLIJRS INC
KTNGS WO(JD 4 (612) 431-5000
PERMIT SUBTYPE:
sF Pnkc1i
TYPE OF WORK:
NEw
DE5CF2TpTI0N NO INTEftI(1R WORK
?
REMAf2KSe RECE7PT # STRUCTI)RE ONLY - DOES NOT INGLWpE INTERlON F1N1":
1
1Y CJTY OF EAGAN PERMIT ?ontrol No. 1 q O 6
3830 Pilot Knob Road PERMIT TYPE: a u z Lo z NG
Eagan, Minnesota 55123 Permit Number: 001604
(612) 681-4675 Date Issued: 1 m/ 15 / 9 2
SITE ADDRESS:
1462 KLNGS CREST
LpT; 8 Bl OCKa 1
IiTNGS bJQOD 4
DESCRIPTION:
NO INTERIOR WORK
;Build'i'qq Permit l'ype SF P012CH
Quilding,lJork 'Type NEW
UF3C f7ccupari"c.,y R--3
Bwildinq Lerrc?th 1A
Buzidzng Width ?L_., 12
r
?..
i ?
\.
_
? ?..?..:.. ..
6-7
Try
M1?;',al?,?i.r{?'C<<L.
s
REMARKS:
RECEIPT #?,bp?f S'i'RUCTURE ONLY - DOES NO'1" iNCLUqE TNTERIQR FINSSH
FEE SUMMARY:
VAIUATION
Sase Fee
P.lan Review
Surcharge
Total Fea
$81.00
$52,65
_, -. $ ? . 0 0
$136.66
$6, 000
CONTRACTOR: - Rpplicant - sT. LI QWNER:
OZMUN BLDRS TNC 14315000 000104 DONAHUE WILLIAM
7.5136 GflLAXIF AVE 1.452 KSNGS CREST
APPLE VALLEY MN 55124 EAGAN MN
. (612) 431-5000 (612)452--9095
T hereby acknnwledge rhat I have r^ead tFris applica"Cikn and state that Che
infiormation is correct and agrse ta ccrmply with a11 applicable rCate ot Mts.
Statutes and City of Eagan Ordinanees. J
? r
? M10
APPLICANTIPERMITE SIGNATURE SUM V: IGfYAT RE
PE'RMIT # J/ CITY OF EAGAN ?1J' (o
REACTIVATE'*_ 1992 BUILDING PERMIT APPLICATION
681-4675
07 0 Li RiECD
SINGLE 8 MULTI-FAMILY
' 2 sets af plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specificatians, I 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 Valuation of work C?<S
Site Address:
STREE SUITE N
ant Name: (commercial only)
LOT BIACK SUBD, P.I.D. #
Descri tion of work: 3 Yq,er,,., -F
The applicant is: ? Owner WContractor O Other (Deserfbe)
Name Phone "ga9'5'
Property LAST FIRST
Owner Address ?yloA 1?? 6'
STREET U STE M CitY ? S
?
?
-
tate
Z i p ,?.5
/y
Company ? Phone 44? / - OOd
COI1tr8CtOf Address License #ovo/vil'</ Exp.
City , ( State ? Zip
Company Phone
Architect/
Engtneer Name Registration #
Address
City State Zip
Sewer 6 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 ' h all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: ca
. OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 5F Dwg. ? 01 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
?4 SF Porch ? 09 12-Plex ? 14 Fireplace
05 SF Misc. ? 10 Multi. Add'1. O 15 Deck
WORK TYPE
31 New ? 33 Alterations ? 35 Tenant Finish
f7 32 Addition ? 34 Repair ? 36 Mave
GENERAL INFORMATION
O 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
O 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
Const. (Actual) Basement sq. ft. MWCC System
(Allnwable) lst F1. sq. ft. City Water
UBC Occupancy f?- 2nd F1, sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
?' of Stories Footprint Sq. ft. Fire Sprinkler
Length ? On-site well Census Code
Depth ? On-site sewage SAC Code
APPROVALS
? ?
?-
Planning Building Assessments
Engineering Variance
REDUIRED INSPECTIONS ' ?? ?N i:?OIZCH AND I?ECK (?TRuc?ttREoN?v?
7N?5 `PERh1fT DOtQ NLYT `rNCIuDS IH7E?IOR F1N15H
? Site ? Footing ? Framing ? Insulation
? Wallboard ? Final ? Draintile ? fireplace
Permi t Fee v,i,at;q,: g ?d
Surcharge
view
Plan
12X1?) = ?6$ ?( qT- /d) _ 5-?o
License
MWCC SAC
City SAC
Water Conn.
Nater Meter .
Acct. Deposit
5/W Permit
S/W 5urcharye
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Capies
Other
Total:
SAC %
SAC Units
* * * 4 2422 tri? MN 66120
* ?PIONEER LANDSUFVEYOPS•CIVILENGINEERS Mendots Hel9hts
?eng*eering,• LANOPLANNERS- LANG9CMEARCHITECTS (612) 681.1914
* ?c *
Certificate of Survey for: OZMUN 60ILDER5,IN C.
House Address: Kihas Gresk
Model Name:
?, as$• ?425°I2?'f9
- o
N
' oy ? I
0
? Z. ORi 0qq ZZ ?
?
S? o?? as ? P F ?O° I s
N
C) 12. I
8b ?z.o 0 1?•? •o;q b7 P'? 6 g,,,,er.?C ?y,08 e
t ?
? ?? ? o
? I
SS \
. \ f
y f
a
,
? ?I u
i?
Q?
900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVA710N
•? Denotes Proposed Elevation Lowest Floor Elevation: 89l.SZ
Denotes Drainage & Utility Easement
Denotes Drainage Flow Direction Top of Block Elevation: 84".63
---o- Denotes Monument Garage Slob Elevation: 844.3
--e- Denotes Offset Hub Bearings shown are ossumed LOT 8, BLOCK I , KINVS WDOD 416. AD D' N.
IDQ1<OTA COUNN, MINNESO7A
1 hereby certtly that lhis survay, plen or report wa,?s p.lr.e??paral bY me or under my direct sunervfsian and Ihat I gm duly Rapistered Lend 8urvayor
under tM1e laws ot Iha 8tete of Minae?ote. Datad thitu _ ? n day of 606rull'I A,p, tg ?
?
Scale: 130?t ? ?. 4RE ROBERT 9.O. 1489
rf-'M 92o20.01
,4iv?'2C_?t,
a
CTI'Y OF EAGAN
L? B MECHANICAL PERMIT RECEIPT # a
SUBD. (612) 681-4675 DATE 9
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR 5INGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR
TOR'NHOMES/CONDOS WHEN SEPARATE PERMTl'S ARE REQUIRED FOR EACH DR'ELLING UNIT.
a.?,tih
OR'NER:
FEES
STTE D :? ls? ADD ON/REMODEL (EXISTING
CONSTRUCTION ONLl) $ 15.00
?esl- HVAC: 0-100 M BT[T 24.00
INSTALLER: ADDTI'IONAL 50 M BTU 6.00
ADDRESS: )-3 ? GAS OVfLE1'S - MIIVIMUM 1@ $3 EA. 6• a
CTl'Y: ZIP. ,}?D y SURCHARGE $ .50
SIGNATURE: TOTAL: $ 3(? 'SO
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. AISO COMPLEfE FOR
APARTMENT SUILDINGS OR OTHER MULTI-FAMILY BUILDINGS R'HEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNTT.
WORK DESCRIPTION: CONTRAGT PRICE:
l% OF CONTRACT FEE. FEES
STATE SURCHARGE IS $.SO FOR EACH
$1,000 OF PERMIT FEE.
$
PROCESSED PIPING - $25.00
MINIMUM FEE - $25.00 $
OWNER: TOTAL: $
SITE ADDRESS;
1'ENANT:
SUITE #:
INSTALLER:
ADDRESS:
CI1'P: ZIP:
PHONE #: C11'Y SIGNATURE:
SIGNATURE:
L O sL ? CITY OF EAGAN CITY USE ONLY
SUBD. (
P6) N 681-E4675 RECEIPT e D r7?o
DATE
&ESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIRTURES EA. TOTAL
NEW CONST _ I REPAIR/ADD ON 15.00
ADD ON ( SHOWER 3.00
REPAIR WATER CIASET 3.00 ?e•6-0
/ BATH TUB 3.00
OLmU?1 ? LAVATORY 3.00 ?
OWNER NAME: KITCHEN SINK 3.00 ?
IAUNDRY TRAY 3.00 ?.?
SITE ADDRESS: HOT TUB/SPA 3.00
FLOOR DRAIN 3 , 00 ?
GAS PIPING OUT.
INSTALLER: (MINIMUM - 1) 3,00
? ROUGH OPENINGS 1.50
ADDRESS: OTHER
CITY: v
ZIP:? WATER SOFTENER
PRIVATE DISP. 5.00
15.00
U.G. SPRINKLER 3.00
PHONE W. T[JRNAROUND 15.00
STATE SURCHARGE .50
TOTAL: s -X &D
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. AL50 FOR Ml7LTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS: _
TENANT NAME: _
SUITE #:
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
CITY OF EAGAN
CONTRACT PRICE:
1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE,
$25.00 MINIMUM F'EE.
CONTRACT PRICE x 1%
STATE SURCHARGE
TDTAL:
(SIGNATURE)
$
$
J _.
.3r?•oo?
:??F•?o=
? ?'7J•UOa-
„\?-?oJ ?.>31?•JOF
?(}/ ? , 3 + / • 5 J °:?
I el?
lT'??u? U84'001-
5'1 u?00E
J? iI `i'70E
S,,S!.'I • 504=
C?4 J/ '•? .+?`.'.ilr
1992 BUILD{NG PERM{T APPLICATfON
• ' CITY OF EAGAN
REQUIREMENTS: fEB E RECD
SINGLE FAMILY 2 SETS OF PLANS, 3 REITEREDSITE SURVEYS, 1 SET ENERGY CALCS.
MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS.
# OF UNITS RENTAL FOR SALE
COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SEf OF
SPECIFICATIONS, 1 SET OF ENERGY CALCS.
PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY L4ST WORKING
DAY QF MONTH IN WHtCH REQUEST IS MADE -QB LOT CHANGE IS REQUESTED ONCE PERMIT IS
ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH
ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
TO BB US@d FOY: SINGLE FAMI LY V81uffiiOn: -9990* DBte: 2-4-92
Site Address 1452 KINGS CREST, EAGAN
Lot 6 Block
Parcel/Sub
Owner OZMUN BUILDERS,INC.
Address 15136 GALAXIE AVE
City/Zip APPLE VALLEY,MN 55124
Phone 431-5000
COritrBCtOr SAME
Address SAME
City/Zip SAME
Phone SAME License 00010447 I
Ar'ch./Engr. MICHAEL GLEASON
Address SAME
City/Zip Code
Phone #
l6$,oDo ? OFFICE USE ONLY
Occupancy R 3 M-I Bldg Permit
Zoning R-1 Surcharge
Actual Const V- N Plan Review
Allowable V N License Fee
# of stories SAC, City
Length 82' SAC, MWCC
Depth 2g7 Water Conn.
S.F. Total Water Meter
Footprint S.F. Acct. Deposit
S/W Permit
On-site sewage S/W Surcharge
On-site well Treatmerrt PI.
MWCC System ? Road Unit
City water -v Park Ded.
PRV Trail Ded.
Booster Pump Copies
SUSTOTAL
APPROVALS Penalty
Planner Lot Change
Council TOTAL
Bldg. Off. 2 o z Ds
Variance
FE
316100
jgy, oa
?D,ou
Do,oo
00,001
300601
2DOiGJI
Sewer/W rLiC Id ontr. PEINE PLUMBING AND HEATING,VERMILLION'? ProCessingtime
for se r/ at pis two ays once area as been approve .
KINGS WOOD 4TH
agrees that ali work shall be done in accordance with
ignature o ittee
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
vALuaTia N
Z?' X?j P?. + ?`L D ;?. ?,?'.r i3 .;,:T.«.Hw
loX1B%
??..."-
??a01c 14: /$20.?
UaRa&?
3?. X a`f d 7? g
r-------
r72t?K/5% 10,92D
243 xyo ?
Z.
Z?jb Ro orA
2 0
/ (o
18a
?--?
T8 Y, c?a ? f IxO
Ju X
.?-
,aococ- ss
"? '?r a?9 o a
Y - _.-._ ._ . .... .
? * * * ' 2422 Enterprise Drire
'f PIONEER Mendota Heights, MN 55120
111NDSURVEYORS•CIVILENGtNEERS
-jK ?engineering,. LANDYLANNER4•LAN09CAPEFRCHIiECT3
*-lstzl sat-i9t4
* 4c * Q
Certificate of Survey for: OZMUN 601LIDER5, INC.
House Address: Kinas Gresk
?
Model Name:
G fZEST
" 0 22 0
N b°? Z lo
S /
?
5 2.86
? .. . _
/
O?
p ?012' 49
m
N
T 22 ?
?
?
- r
04?
_'p .. ..., ..
? a,r a v?C 1
?
?
\ --e?
\
\
\
S a
S
S
?G
"'
sees
Proeo `'o
?poSe Q
bk°'1
8
\
\\ ?
\/ l
a ?
/
I
I
1
I
I
IS
l ?
N
39Z t
9
ati
N
?
O
+ W
0
kr\ ?
-? O
-z
r
?y???GAN ExGINEERzNG
. 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION
. eoo.o Denotes Proposed Elevation Lowest Floor Elevation: &41.sz
Denotes Drainage & Utility Easement Top of Block Elevation: 849.63
- Denotes Drainage Flow Direction
--"O- Denotes Monument Garage SIa6 Elevation: 894.3
-B Denotes Dffset Hub Bearings shown are assumed
AD D' N.
LOT 8, BLOCK lKINVS _WDOD 410
DAKOTA COUNTY, MINNESOTA
1 here6y cerlity that this sutvey, plan or report wa,s pyr,/e?L11pared 6y me or under my direct supervision end Ihat I em duly Regislered Land Surveyar
under the laws al the Slate of Minnesola. Dated this .
?'L day of < Y'u A.D. 19 QZ
Scal e: 1 inch- 30feat
R08ERT B. SIKICH L.S. RE . NO. 1489
Fbt-fi 92o20.01
P
bZMUN BUILDERS, INC.
DESIGNERS AND BUILDERS
15136 GAIAXlE AVENUE, APPLE UHLLEY, MN 55124 (612) 431-5000
-- -- - ---
. Average 71U',Computation
Job Site Address ??D?
Legal Description: '
Lot_?) glock_I_Addition, I 4_Date 2' ' 2
AVERAGE LINEAL EET OF •
EXPOSED WALL AREA ABOVE GRADE
Main Level '
Lineal'tt of framed wall above gradeax height of wall-1-b1
Second level /_
Lineal ft of*framed wall above grade,?lUx height of wall
Vaulted AYea
Lineal Et of Eramed wall above grade x height of wall
Rim Joist Ar&a "
'Lineal ft of rim
Lower 1eve1 x height of rim
•
Lineal ft of framed wall above grade -- xheiqht of wall
Lineal ft of framed wall above grade - x height of wall ---
Lineal ft of masonry wall above grade,l hcjt•,aboVe:qrad==?
Tctal Wall•axea.above grade including win8ows and doors
WTNDOW$: 8rand and Tvne T'ia(I-') eA,OrA-c
.ft.
.ft.
.ft.
.ft.
.ft.
.ft.
.ft.
.ft.
lmsq.ft.
sq.ft. X
_, aq.ft. X
sq.ft. X
sq.ft. X
. ' sq.tt.. x
a x
_ r9 P2
_(CZ
.ft 3b X ??Ull
.ft ? X IIU
.ft. X ??u??
ft. X ??u.,
_ .--L??-
OPAQUE WALL.CONSTRUCTION:,Area x"U" va ue-'"
Framing members sq,ft 34-,3"1 x
Framed wall sq.ft I Z x
Rim Joist Area Sq,ft ?L2, X
Masonry wall . sq ft 15C
Total wall area including
Windows and•DOOrs
Total(U) Values
Divided by,tota wa 1 area
nVu , +( _
?
nVu a
aVu _
i
nUn _
?
14U16 - P?
,
iiuii - 'l
liuil
11 u
nUu _ ?
nUn =
nUn ?
uUn a
uVu _
uVn _
u?? _
.
a. 3b
= Avq.°Uo
31
a. CM5
AVERAGE "U" Minimum .ll:or less,for 1& 2 family dwellings
JV/a?.L 9-\4aL-uE
t!XTERIOpz p.IR FILM .17
hl DI I-i? ? ?O?
SI+EATH I N!P
5V2' SvFT VlooO !o .$'15
1112, !?IP• SD ? .4-5
II-J`rERldV- A-I tz ? I L..1JI . ?a
TOt'A
u u = . I
F4M aD WALL
TERlofz Alfz ?I LM ', (7
DIN? ? &9
tt?A--f hF I ML 2. OCo
' Pa°`r'T IN3u? ?o?,po
° vYP• ?p• .45
a I? ? ?,?• a ? 04-6!
RIM JdIST AlzE/h
, i?
? 4e?"1
2I OCo
I .88
.me
CdTAL R>_ i?t"?•T//J
.17
Z•48
Lo. 0o
,-' _,DF Ctiu W 6p
?1?12 PIR FIL-N! ,Cal
_-? r?L.?? ? til?l?.a.-t-Ic?1 ? • ?
?YP ?v. ,6to
?IC)P a.l;E- piwM ,6p 1
,. %2! rr-? 4*
ExTapiov- A1;z- PIL-M .ml
1 " OP6-ip I uguL-oll?rlpN
121 F&• II.ttPULAP?TIoF-l ?71*?,Co
e?O GYP• ?D• .640
II-1'i'E4zld{z Pltz FII.M ,d?41
"r'O'rAL -
t1=?/Iz U= ,022
?
cvy , r
a .
? BOULEVARD TREE PLANTING
OFFICIAL PERMIT
PART III
APPLICANT INFORMATION:
APPLICANI' NAME: Wl LC.( Gl'M %DAJ pite-,
1? :r s :t?a?r !?..?A.;;9
ADDRESS: A7(4S ('e?7 ceP6") 1 a
TELFPHONE: Li'?G? ` ?D`7S
ADDRESS OF PROPERTY TO BE PLANTED:
OWNER OF PROPERTY (If different from Applicant):
TREES TO BE PLANTED:
Tree_ Vaetv Size Location
Example:
Mazshall's Ash 1 1/2" dia. 15 feet south of driveway
1.
2.
3.
4.
Distance
from curb
11'
ok- 17R,tvE?-
Il? ?ov? Gurb
DIAGRAM: '
Please attach a rough diagram of your lot and the right-of-way azea showing the location of
structures, buildings, driveway, street edge or curb, and location of tree(s) to be planted.
M,E
t
AGREEMENT:
I agree to plant the boulevard trees according to the above stated conditions. I have read
and understand the City Ordinance pertaining to tree planting and maintenance and
understand its contents. A copy of the ordinance is attached to and made a part of this
permit herewith.
I understand that the City of Eagan assumes no liability or responsibiliry for injury or
damage to persons or property however caused through the issuance of this permit. All
work done under this pernrit shall be performed without cost to or obligation by the City
of Eagan.
A?W
9- 3 -9?.
Property Owner
5?-a -9?--
Date
Date
(Please keep information sheet (Part M and return this signed portion to City Hall, 3830
Pilot Knob Road, Eagan, MN 55122.)
FOR CITY USE:
Property I.D. # J 0- 4-2-oa Z ' CJ SO - o/ LotBlock ?
Subdivision JC ; hg S w aod ?W f} D p/ T ) 6 9
Application Record `'] - 1 0_- 7 Z-
Reviewed by:amj
Engineering
Reviewed by: '`/'A&{.Q,d ?",?e?
City Forester
Recorded by: ?C?
22wp:blWtree.p1a
Rca. 9 j20/90
7-io-9z
Date
q-g-9;L-
Date
g- to -
Date
o, \ ?
"
qf)
?
? ? .?z. "? 'k " .?
? . ??;A 018 C15
, -?,.r -_ *?M +_ ? ? 2 3 ? ?',, , ,?.,•>? ?,?,: ,
.. ?+ ' ? ?
J?; ' ? ? y F+ Yi4
ti ' ' P • " ??.?1 , '? S " ,;?Y/n ?• p
?`>??. _ ,- ? b . \ •?N? t ? 'W •??,
(q?? ? Y R .e, (} J/ .
? !' ? . V ' . ? ? ? ltl •? ? Y _ L`./. y
Y Z , O
?' ?t Y ?• ' 4• Y ` i L
?'¢1
_
o A1?f K ??
,
, ? , $ f
1 ? ? * - tyF K I
. 2 1
V,• ? ?4 ?t Y ? 3 ? ? ' /
. } p r _ 111Y?YYIr
µ
V .uTTE
D
16 ??c
K'M1
A
/A11V
? ? V??n?s Y(/?•A??, M/ ???y?+Y,,WN ,'?r'S•HS . ?i' IC?
WT
'#S, ,. V eY:?*, ? ? . ?ww ?. ? ?` ??• F .: J 1
? '` ? . ; ? . .>? ? ? , ? ? ; ? ?
_?; • _? ?- ?r ???
CUT E
??, ??. .'y?'s,??F ?*:IjR • ,?? ?`?, !.a, `? R4CKY
. a•ya,,. •,.,,?w '? ` > ',e?'? ?? ?: Y'? '? ???? ' I G E? ZND
? sry ?C';;?..'' .,?." ??'\ ??.F ''?' a s' , , ?i i?y ?JN? • .1 !
? , -??r ?, ?'' ? •? ?t ?''?i?' . ` 'af+WM' Aa« ?
.•.' -°v ? i ;t ?, ' '?,• ',?j ?„'? ?<<` :. ?' . "1V'
_ ? ? :-v ''+•?.' ? ,? -
l + ^ ?? ? Y''i?1
l "?'4 _" _"'?a_'__ , 4. ? M ??k F• ?` ' • , t??
-h ' . /? ?? ."Li } ? ?? -? . ??? ?D•
? ' , ? _ ?•'x,^? ?. ` .. ?_ ? i.s
- n,nw ?? _ ? . • :i+v?- ? •?p ` "..Z1?;? ? r.l? '°,._
0I1-07 ? •,,,,,," ? :?? j'? ?. ?. ?? ?? ?.? I
- • - ? - _ -° ? """'' . ? ' ? ?? `. ? a- ?'''L? ' : i- '? ° _; ? "`. _ _n
f ? ? } ? . ?`l? ?i?' J Y? J
. • - ? ?, ??,a•,y..?`.,' , . a ? :`/' / ??tiY.r ?? ?iili? "_ . .
e
. . , -.- ay _...., _ _ ' '?O?? ? ? , 'rv', ? ? • ? ? j/ 1? , i I r.• ..? ' ?.
' -,
ObFl?
. :-?..
I _._'. .?.. _ ? .
- y ?
cu. K+e YINX.O?PY OFt?1?11l.:' ? , . . ? p?F •
_- oi
} fl'11 ? . ( '¢ ? J . . y? ,? ?t+:•v?t,? pt JqMU
iAPL - .i?hti'.yrC qih*•kra`.y,-s i ? -" -; ',<<
9 }... ? l
2422 tH@ rise Orive
* PIONEER L11NpSIlHVEYORE•LIVILENGINEER9 Mndota QhtS, MN56120
? eng* eeringf. LANDVLANNERS•LANDSCIIPEARCHIfECT4 (612) 681•1914
Certificate of Survey for: OZM UN pUILIDEKS ? INC.
House Address: 1Gi ?? Gres?
Model Name:
?&
l! ?lB9°N4'S'f"E
R, xaa• ?s25°IZ? ?9??
?, ?Zr?.'[T = $vzt
?- s
?
N
I?? 221034? o ? f -?
? Z. , 4,Q/ 049 Z2,0
S / ?0?• ? \ P `?c ? 4 ° ? I ' 9
O ?. r ` b ? ?N o.pl
y 2.8b ?tA q 10?'?019 b7 ProQosee r.?? pg 3
' a°J o.se'"'e 16t,
N A? aY a ye ? N p„a bq o.0
j\\ ? 4V b1 5 J. ? /? I ? ll?
? 6?t
? N
S \
? I
, \ IS
\ ^j ?
5 ?
?
0
IoZ •?`?? p?? ?
r ??8 36
/
• 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION
• oo.o Denotes Proposed Elevation Lowest Floor Elevation: 891.5L
--- Denotes Drainage & Utility Easement Top of Block Elevation: 899.6;
- Denotes Drainage Flow Direction
-o- Denotes Monument Garage Slab Elevation: 899.3
-e- Denotes Offset Hub Bearings shown are assumed •
LOT 8, BLOCK _L, (K Nvs WDOD 4TH qD 0' N.
DAKOTA couNn, MINNESOTA I
1 hereby cerlify lhet ihls iurvay, plen or reporl wa?s pr/e"pareA 6y me or under my direcl wpervizion and thal I am duly Replslarad Land Surwyor
under the laws ol the State of. Minneeote. Dated thls_rC1Y1 day ol ?'2 A.D. 19 QZ?
?
Scal e: 1 Lnaha 30fee! ? 4RC. ICB9
rb-M a2oz0.01
4b? City of EapIl
?-----------------
? For ore?euse I
I Q/? ? I
j PermR#:
? Permit Fee:
I ?/?/? )?? t2 I
? Date Received:v?L/`L-l!?' cU I
I Staff: V 1(1_ mCl.l I I
i----------------'
2008 RESIDENTIAL BUILDING PERMIT APPLICATION C"d 7'3
Date: 6-44'C'3S-) Site Address: 1(,%?S C. r2S T
Tenant:l-c)%//1am 9+- //%u?v /?,naLiue Suite#:
RESIDENT / OWNER Name: id, lliam ;( //7Qr ri Z6na`itwe Phone:b5/ -1364'd - 9a?S
i
n L
Address / City/ Zip: ///o? iAqS C?reS/
Applicant is: _ Owner _)< Contractor
TYPE OF WORK Description of work:,??JkrOL'w
,341
?
Y
7-,fefkp,`9?J ower Sarro.4A /"Tirlbi!!y ¢eEeYetiYl/'T? tC r
Construction Cost: 75, 60 Multi-Family Buiiding: (Yes _/ NoX_j
CONTRACTOR Name:Cr<iPNlaslers 42eModetjn4 Licenseu:?zo),a7a93
Address:4'/S /?Csn 16-rvi1 ,40C
City: djaP1e'-C-)C)0d 5tate: W zip: 55117
Phone: 2s5/ - 7S7 -I-// 0 0 Contact Person: e e k
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Cat2901'y Su6mitted Su6mitted
(4 5ubmission type) • Energy Envelope Calculaiions Su6mitted
In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master planl
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documenfs lhat you submif are considered to be pu6lic informafion. Portions of
the informafion may be classified as nonpublic if you provide specitic reasons that would permit the City to
conclude that the are trade secrets.
1 hereby acknowledge that this information is complete and accurate; that the work will he in confortnance with the ordinances and codes of Me City of
Eagan; that I urMerstand this is not a permit, but oniy an application for a permit, ard work is not to starl withoul a permit; that the work will be in
accordance with the approved plan in the case of vrork which requires a review and approval of plans.
?eeky ?arsoit
ApplicanYs rinted Name A plicanYs Si u
Page 1 of 3
C .
,
SUB TYPES
? Foundation
?19> Single Family
? 07 of _ Plex
? 02-Plex
? 03-Plex
? 04-Plex
WORK TYPES
? New
? Addition
Alteration
Replacement
DO NOT WRITE BELOW THIS LINE
? 05-plex ? 16-plex ? Accessory Building ? Pool
? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? 07-plex ? Garage ? Porch (4season) ? Ext. Alt. - SF
? 08-plex ? Deck ? Porch (screen/gazebolpergola) ? Multi Misc.
? 10-plex ? Lower Level ? Storm Damage
? 12-plex ? Miscellaneous
? Interior Improvement ? Siding ? Demolish Building*
? Move Building ? Reroof ? Demolish Interior
? Fire Repair ? Windows ? Demolish Foundation
? Egress Window ? Water Damage
` Demoldion (entire building) - grve PCA handout to applicant
DESCRIPTION:
Valuation
Plan Review
(25%_ 100%?
Census Code
# of Units
# of Buildings
Type of Const.
Occupancy ,1-R6-1MCES System
Code Edition 141? SAC Units
Zoning City Water
Stories Booster Pump
Square Feet PRV
Length _ Fire Sprinklers
Width
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof: Ice & Water _Final
,?a Framing
Fireplace:_R.I. _AirTest _Final
? Insulation ? ?, h ?
Reviewed By: ,
RESlDENTIAL FEES: '
Base Fee
Surcharge
Plan Review
MC1ES SAC
City SAC
Utility Connection Charge
58W Permit 8 Surcharge
Treatment Plant
Copies
Total
Sheetrock Meter Size:
Final/C.O.
\4 Final/No C.O
Building Inspector
? HVAC
Other:
Pool: _Footings _Air/Gas Tests Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
Page 2 of 3
---------,
,--------
? For Office Use I
I ? ?
I Permit#
I e-7-} ?
I ?
? Permit Fee: I
t-y ?7 I
j Date Received:
? Statt: ?
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date:
Tenant:
Suite #:
RESIUENT/OWNER Name: Phone:
Address /City/ Zip: K''^}S
CONTRACTOR Name: License tt:
Addressl.U
City: ?l?+s?? S State. M-LJ Zip: S?v ?j
Phone:ContactPerson:
TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Descri tion oi work:
PERMIT TYPE RESIDENTIAL
Water Heater _ Water Softener
"
Ad?lumbing Fixtures
_ Lawn Irrigation L"
? RPZ /_ PVB) (_ Main _ Lower Level)
Septic System _ Water Tumaround
New
A6andonment
RESIDENTlAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State SurcMazge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround* (includes $.so State Surcharge)
'Water Turnaround (add $136.00 if a 5/8" me[er 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.) (indudes $.50 State Surcharge)
T9TAL FEES$-,_.
I hereby acknowledge Ihat this information is complete and accurete; that the work will be in conformance with the ordinances and codes of the Ciry of
Eagan; Ihat I understand this is nol a permit, but only an application tor a permit, and work is not lo starl without a permit; that the work will 6e in
accordance wdh the approved plan in the case of work which requires a review and approval of plans.
X JG:Soa c..y? ,- C,il X .
ApplicanYs Printe Name ApplicanYs Sigd ure
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground _ROUgh-In Air Test _Gas Test Final
?'? ?? Site Address:
PERMIT
City of Eagan Permit Type: Mechanical
3830 Pilot Knob Rd Permit Number: EA090332
Eagan, MN 55122 . Date Issued: 07/24/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 1462 Kings Crest
Lot: 8 Block: 1 Addition: Kings Wood 4th
PID 10-42002-080-01
Use
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Comments: 3/2/10 Letter & correction notice to applicant and correction notice to inspector. (pf)
Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445-2840
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $0.50 9001.2195
Total: $50.50
Contractor: -Applicant - Owner:
Angell Aire William H Donahue
12253 Nicollet Ave S 1462 Kings Crest
Burnsville MN 55337 Eagan MN 55122
(952) 746-5200
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA100147
Date Issued: 07/18/2011
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 1462 Kings Crest
Lot: 8 Block: I Addition: Kinas Wood 4th
PID: 10-42002-01-080
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Windows Doors-New ; Replacement
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Renewal Andersen Willimn H Donahue
1920 County Road C West 1462 Kings Crest
Roseville NIN 55113 Eagan NIN 55122
(61)264-4777
I hereby aeknowledae 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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116347
Date Issued:10/07/2013
Permit Category:ePermit
Site Address: 1462 Kings Crest
Lot:8 Block: 1 Addition: Kings Wood 4th
PID:10-42002-01-080
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Elizabeth Hess
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 -
William H Donahue
1462 Kings Crest
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
1 E. CLIFF ROAD
BURNSVILLE, MN 55337
(952) 894.1480
3426 BUNKER LAKE BLVD. NW
ANDOVER, MN 55304
(763) 576-0762
Customer ` 1 YLi i iii Am
} �A
Address 1 1 YA t71
City
Phone: Hr
Job Site
v44le/ Awe/ &
45,444
'The Way to Relax Since 1974„
www.valleypools.com
Q 18158 STATE HWY. 371
BRAINERD, MN 58401
(218) 829-9004
[j 13150 FIRST ST., PO BOX 648
BECKER, MN 55308
(763) 262-5991
rtiq
City
ABO E -GROUND
PROPOSAL
No.
Sold at:(1
COST
der
Piumbing iC
Filter & Pump
All Packages 1 lu j e:
►\ iti /, VIII
Pool +Manufacturer:
Model / Size:
proximate Delivery Date:
DESCRIPTION
INCLUDED
INCLUDED
INCLUDED
INCLUDED
INCLUDED'
INCLUDED
INCLUDED
Heater: MV or.EDNAT or LP
Equipment Pad for Heater
Derve Within 30 Miles of Story
Revised 3/07
Ail permits and code requiremeltts are the responsibility 01 the buyer, itis recommended that the pool pump be hard wired according
to code. Failure to properly wire the pump could result In damage & void the warranty. Valley Pools & Spas will supply information for
contractors at the customers request It is suggested that you get written estimates of work to be performed. Alt such aurorae
between the customer and the contractor. Valley Pools & Spas is not liable for any of the terms of these agreements.
,DOES NOT INCLUDE GAS OR ELECTRIC.*
Proposal prepared by:
Date:
20° 1
TIONS D!VISIOt uye
APSP
Date:
Attoeiatottr) of
CC#
Expiration
For Office JUse
14 1,0 Permit#:‘. G A N RE C El V1T.;_i..)
Permit Fee:
FEB 21 2018
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspections ancitvofeagan.com L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 2/16/2018site Address: 1462 Kings Crest Unit#:
t
,Wit
lf Name: Joe Bortscheller Phone: (612) 702-2216
Mrike 'de>ntl 1462 Kings Crest, Eagan, MN 55122
Milo
Whet Address/City/Zip:
iggaM.ViZ'O , Applicant is: Owner X Contractor
Installation of a flush, roof-mounted solar PV system.
peon Description of work: Y
38511
Construction Cost: Multi-Family Building: (Yes /No X )
liMISURISkie Company: ALL ENERGY SOLAR Contact
WaKc Ri t
ZreZaeAMVSY
rontractor
g` Address: 1642 CARROLL AVE City: ST. PAUL
��= MN . 55104 651-888-4173
f State:_ Zip. Phone: Email:
BC665819
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
LESS THAN 6 SQFT DISTURBED.
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plan ands tppotting doc rfr rets" of > :.s mita Sid d to brepos rfor a�tron. Portion. h i tormat,o be
classifiedas n e n�• bli,orf au r•vides'a `,r r° s#n: that.i!ould ermit this. 'fito,+conclude'hat tha.: , ®,e e#' "` 'tO ,
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gooherstateonecall.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.
x Kristen Sachwitz x -dr, 11
Applicant's Printed Name Appli an s Sig 9 2:6;
1/-1(0 - ' 1116. ,- C12.64S1- /1--/CQ-- --7
DO NOT WRITE BELOW THIS LINE
SUB TYPES
—
Foundation _ Fireplace _ Porch(3-Season) Exterior Alteration(Single Family)
tD 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
id 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 ,..AV 3f, 5 h/. a"=— Occupancy 't C—1 MCES System
Plan Review Code Edition AA 2d 15- SAC Units
(25%_100% Zoning ?'—I City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V$ Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) 1`0 Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: _Ice&Water _Final Pool: Footings Air/Gas Tests _Final
XFraming 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding: _Stucco Lath Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: /O i'n in; Y-i7e" , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
This is to confirm that the roof attachments and solar install has been done to the approved
plans submitted to the city of Eagan at the following address 1462 Kings Crest, Eagan, Permit
number EA148037. I personally have first hand knowledge of this to be true.
RECEIvEc
m
4 ' A, 24
?VIN
69,4/6'i
William Wigstrom Date
1