2043 Kings Rd0 CASH RECEIPT ?
,, CITY OF EAGAN
I P. 0. BOX 21-199
EAGAN, MINNESOTA 56121
DATE 19 ` RtC tl V tD
FROM'
AMOUNT $ I _;
& DOLLAR9
ioo
[J CASH Fl GHECK
_..' _E
FUNO COOE AMOUNT
Thank You
5?743
BY
Whita-Payers COpy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN Remarks
Addition VTF.NNA WOODS
Owner
10 81950 110
Street 2054 Pin Oak Drive State Eagan, PIN 55122
.2043 Kings Road
Improvement Dt ount Annual Years ?y Payment Receipt Date
STREET SURF. yU? 34.?4?j 283.45
? ? /
STREET RESTflR.
GRADING .. 73 58_77 10 AO / -a2'1' S
SAN SEW TRUNK /fJF 1973 129.78 8.65 15 L l
* SEWER LATERAL 1981 4232.34 423.23 'LrrJr
* services 1981 10
WATERMAIN
* WATER LATERAL 19$1 lO
* WATER AREA 1981
* STORM SEW TRK 1981 IO
* STORM SEW LAT 1981 lO
CURB & GUTTER
51DEWALK
STREET LIGHT
WATER CONN. i, „
6UILDING PER.
sac 525.00
PAR1C
Recaipt MECHANICAL PERMIT
CITY OF EAG0?N
ffll in numbered Wsces
Type or Prini /apibJy
1. Dats 2. Inatallation Cost
3. Job Address ` : t 4oJ '' iIk.
4. Ownar
5. Conuactor
r .;
Permit No.
Fw ?
S/C '
Tot. ?
? Trsct
Phone
6. Address
7. City ? t State I Zip ? -
8. Building Typs: Rssidential Ci Commercial ? Institutional ?
9. Work Desaiption: New D' Add ?
10. Describe
11.
AIMr 13 Repair ?
_Fuel Type . .
No•
? Eaijinment BTU - M. Ea.
Forced Air 1•` ? No. Eauioment CFM
Air Handlin
:
Mfg. y
8oilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Othar
' Afr Cond.
Mfg.
Gaa, Piping Outleb
12. I hereby certify that the above information is true and correct, and I agree to
oomply with all ordinances and codes governing this type of work.
Signad : ._ _ ._? ;
, for
Rouyh , Final
Inspections: Oate Insp.' Date Insp.
This is your permit when numbered and approved.
Approved _ CITY OF EAGAN 464-8100
Receipt
1. Date
3. Job Address
4. Owner
PLUMBING PERMIT Permit No, i
CITY QF EAGAN
Fee '
Fill in numbered spaces S/C
Type or Print legibly
Tot.
2. Instaltation Cost
Lot Blk. ? Tract
Phone
5. Contractor
6. Address
7. City
8. Building Type: Residential ?
9. Work Description: New O
10. Describe
1 11
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs $eptic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet
Laundry Tray Other
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8700
State
Zip
Commercial ? Institutional ?
Add O Alter ? Repair ?
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 '.
BUIL.DING lERMIT Receipt #
T. b. ...e Fs. ' v ,-rG%GAR E.r_ v.i.„ $ t5 7, O O l1 n,,.e OIivE l0 85
Percel No,
? Neme _ ._.., _,.. _.,..? ?
z P. r .
AddfesS
? City • `:F;???,':t .?Li:: Phane
Z?; Name
uu
i Addre
t- Citv _
SAME
Name
Addresa
City Phone
I hercby ocknowledpe thot I how road this applicotion ond atote that
the intormotion is torred and o9ree to comply with all opplicoble
State of Minr+esoto Stotutes ond City of Eapon Ordinonces.
Siqnotum ot Pem+iftee
A Building Pwmit is issued to:
oll work shall be done in occordame with oll. cpplimble Stote of Mfr
Buildinp Offlciol - '
Erect L:{ Ooapancy R .S
Remodel ? 2oning 1Z1
Repair ? Type af Conat. ? .
Additlon ? No. Stories
Move ? Length
Demolish ? Depth 47
Int Impr. ? Sq, Ft.
Assessment Permit ? - • 0 0
Woter b Sew. Surcharge 4 3. 50
Police Pian Review 197.00
Fin sqC 25• 00
Enp. Water Conn •`- 1j 0. 0 0
Plonner Water Meter 63. 0 0"
Council Road Unft 28C' • 00
Bldg. Off. >/?'l:.s Tc PI. 132.00
APC Parks
Var. Date Copies
-i 2 1' .s 4' 5 d
Total
on the express conditlon thot
sota Stotutes and City of Eaflon Ordinoncss.
- Psrmit No. Parmk Holder Drte TNephons i?
Plumbin9 ?G' ? - ? 9
H.?A.C-
5?
b .-.?- A;
C.
-r ?- g
?
EMetria
Soiteinr
Irnpsction Date Inap. Other
Foatings I
Footln9s II
Foandatlon
Framing
RoohnQ
Rough Plbg. . ?_
Rough Htg.
InsW. `
FireplaCe ?
Flnal Htg. Ae
Final Piby.
Final
CsrUOee.
Water Dewibs Locistion: -
Well
Sawer
Pr: Dlsp.
CITY OF EAGAN SEyVER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERNIIT hi0.:
Eagan, MN 55121 DATE:
Zo^i^0: - Na of Units:
Owner. - ?
Address:
SItO AddfESS:
Plumber:
u0 . ? TF!.
I prw to eesolp wllL tLw Clh *F g!e¦ ConnecHon Chorper: 4 ??• C}?'Pr :
OrdiMSer. Account Deposit:
Parmit F": '
Surtharpe:
BY Misc. Choroes:
Dute of Inap.: Totol:
fnsp.: Doh Pofd:
CITY QF EAGAN
3830 Pilot Knab Road
P. O. Box 21199
Eagsn, MN 55121
Zonir?p: '
OMIf1lr: i J??1;!4'? .'.r r
Addrm:
$Ite Address: 3
Plumber.
Mater No..
Stze-
Raoder No.:
l e'sw h aawyiy w111i 11e Cify af Eqpw
Odiwwoer.
ii..
Dote of I nsp.:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
. No. of Units:
Connection CFwrgs:
AcaouM' DEposit:
Pertnit Fee:
Surchoroe: Mlsc. Gwrqes:
Total:
Dot* Paid:
insp.:
CiTY Of EAGAN WATER SERVICE PERMIT
3830 PiloV Knoh Rosd
P. U, Box 21799 PERMIT NO.:
agan, MN 55121
o^TE:
°^i^q: No, of Units:
r; Ti_11Qes Cotist
reex s
^ddrcss: ?,9 Kings Road L1
umber.
'-
r nb.: 3 56 corw?'whon ?
?- . chdpipi• 5 0.00 pa
u: 5.00 pd
I NO.: 6 31" 6-LI 9!!?'3 ?n1aCi?Pemt no p(?
` Niw wilG !IN C a# "Yea . 50 pd
M im u,orges: 132.00 na
Totol: _ 63_00 nd rn r-
DcM Paid:
o I nsp.: I rop.:
,
?
a? ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE El SETS OF A S,
U F ? CERTIFICATES OF SURVEY
? SET OF ENERGY CALCOLATIONS
To Be Used For: Va1uati0n?.}ft-}8n^so-- Date:a-5-$g;
Site Address: Zp 45 ECinys Rxtd g??? -' o e
Lot:// 91ock: SectfSub://
Parcel
Owner: G?lol'? 6pi??9'!!d?'1
??T
Address: $?/77 Tpengz 22e.
City/Zip Code:
Phone $: ty65a- <fylZ,Q
Contractor:lgzos ?7?/^yG7-jGY7
?
Address:2&,:V, ??eke. 'no.0, A?yg65
City/Zip Code:jz`sg?>54yC
Phone #:
Arch./En
Address:
City/Zip
Phnnafl-
Erect: X Occupancy:
Remoc:el :
Repair:
Enlazge:
Move:
Demolish:
Grade:
Zoning:
Type Of Const:
# Stories:
Length:
Depth:
Sq. Ft.:
Assessments:
Water/Sewer:
Police:
Fire:
Engr.:
Planner:
Council:
Bldg. Off.:
AP-.__
Variance:
?-3
12- I
?-
`L7_
Permit: 3`I4 "
Surcharge: 43.s=
Plan Rev. : ? 9 -1 , °°
SAC: 525,°-°
Water Conn: 5c?o
Water Meter co'?.
Road Unit: 2g0- ee
g.a-rKs : "fpC • 1 32. =
Zq-x 46 _
IS?x?I4--
ICJ-X ?t> ?
(152x S¢= &2208
21o K'?4- ° I l 340
??20
34 x22 "?l 4? x I?
?
g 22 6
SG o,5,1 c?
.
BUILDING PERMIT
T. L. d..e fe. SF
Receipt # e ??-
87,000 r),,,. JUNE 7 85
SiteAddreu 2043 KINGS RD
Lot 11 elxk 3 cec/Sub. VIENNA WOODS
Parcel No.
W I Nemg TILLGES CONST
? Address 20936 HOLYOKE, P.O. BOX 905
cicv LAKEVILLE phore 469-2144
A Neme SAME
S Addrese
I
Citv Phone
Name
Address
Clty Phone
I hercby ockrwwtadpe thaf I haw rcud this applicution ond atate that
the inlormotion is correcf and ree to wmply wilh oll opplicable
Sfoh of Minnesola Stotu s a d ity of Eogon rdironcea. k4w /
$ipnofuro of Permiftee
A Building Pemir is issued ro: TILLGES CONST
all work shall be dona in accordance with al licobla SjpfSoT*r
Buildinp Offitial
CITY OF EAGAN N! 10370
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
PHONE:4548100
s
Eract IdJ Occupency R.i
Remodel ? 2oning Rl
Repalr ? Type of Const. V
Addition ? No. Stories
Move ? Langth 57
Demolish ? Depth 47
Int Impr. ? Sq. Ft.
insian ?
Avweroh ioe.
Asxsunent Permit .OO
wcreraser. surone1ge 43.50
Police Plan Raview 197.00
Ffro s,4C 525.00
Enp, WaterConn. 500i00
Plonnar WaterMater 63.00
Council Roed Unit 280.00
BIdg.Off. 6/7 85 Tr.PI. 132.00
APC Parks
Var. Date Copiea
7osal $2.134.50
on fha expnfs taditlan Ihot
xwM Statutes ard Ciry os Eayon Ordirqnces.
r? 3 g 5 g REQUEST FOR ELECTRICAL IIY,SPECTION % Eg-00001'9"
See i-iructions /a rompbtino this form m beekaf yellow capY.
7/ Z
""X"" Be/mv Work Cove7ed by 7his Request
Mimm Addl iI.P.1 Type of BuilEfna Appliancea WirW Eauipment Wired
Fbme Range TertWrary Service
Duplex Water Heater Lighfin,y Fixtures
Apt. Building Dryer Electric HeaLn
Comnercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air CoMitioner Bulk Milk Tnnk
Fam Other Speu Qther (5neury)
.r Speci y Other Other
FPB BP/OW
p Fee SefviceEnM1mmeSiza # Fee Feeders/5ubfeeders N Fea Gircuits
010200 Oto30q 0 to30Am
Above 200 Am s 31 to 10D A?s 31 to 100 q
$wimming Pool Above 700-M?ps Above 100_Aml?
Transiormers Irrigation Boortws Panial.'Other Fee
' ? I S?gns ? 1 ISpecial Inspec!ion /? 1
TOTA F(E/E
11e?rks - j?7 ?(JfJ?
\"L
flough-in '
W a
n has been
-/,
vYS WW estvolu 18 montlm lran
This repues[ wid 5315(
18 14??fn LI (I
•.l9 .St?
Ineques. vace nre rvo. ?qn-?n "pecuon
/2 C"? uvetl? ?neaav wow go WiII Noufy, InsDec-
? O ?? Yes ?NO lor When fleady
9 LicenSliB Eleclriral Cmtrnctor I hwepy request inspeetion at above
Owner eleNriwl work insLlled a[:
Street Address, Bo> or Ibute No.
?oY3 /???i
1Zrp C-t
??-
ctmn TovntshiD Name No. Bange No. - Cwnty
Occupanl INtI? ? ?
? ? M
y y
Pow,gr Supp{iw
. /(.? / [L d ?j Add?ess
Electr"cal Comractor ICanw Na 1 •
?i
T? r
" G. Canttactur's Lmense No_
OL SS - 3
?
G
G
Mailinp AJr¢ss ICan racmr or Owner Maki
?l?7S f?wY? ng Instaila[ion)
S
Authorized - u Camractor ner Maki B ta??at 1 PM1oce ?unbe?? ?`/
?
O ?/
? THIS ?NSPECTION RC4UEST MILL NOT
YINNESOTq ?A7E BOAIm OF ELECTRICITT
Griggs-Yidway Bidp. - Noom N-791 0E ACCEPTED BY THE STATE BOARD
7827 Universih A?e-. 51. Paul, YN 55104 UNLESS PROPER INSPECTION FEE IS
Pho?re (b'12) 297-2111. ENGLOSED.
? CERTIFICATE OF
PtcJ 8?.-( oP.K DR.
?- a s?-
120• 00
?6 /? so L4 ? 48.31 ?l
_0
S ?---- --
? ?
? O i L OT
/ fl
C3LOc K
/ 3
s?
o(r . ln ? 94'/
\ U ?
;
a)
-r-
i -- N- - -?
, -
gZ
v 3
9. `
i
SURVEY
8,.?
a?
? io
?
Q ? M Iy'
? ?? ?J {? m If F
z l??
40i
Q 2 4 '?>
1 ?
r I
m r ? LI
ae
?
?,/ I3
?-. ?ti. ' I
N,
,?? ?Q
IZ!8 I 70 ?,? -
Elevations shown are ??' 3Z•96 \y? S
? 66e ' 3 9 ?2 NJ
?a
_Z
I ,
I"
?
N
N Q?
pQ
Q
?
N
4 '
?
existing grades and are
based on assumed datum. 06.
8
Proposed Rarage [loor = 92.5
I hereby certify that this is a correcC representation of a survey of:
?
0
?
1o`]o
?? ?cor-(T.
LoWte sL-AO
f
( C.--1.6 J
Lut 11, IIlock 3, VIENNA WOODS, Dakota County, MinneSOta, according to the
recorded plat Lhereof.
and that I am a duly registered land surveyor under the Laws of the State of Minnesota.
t'e ?
Uated this 25th day o[ May, 1985 Gene L. Jacobson, Qinn. Reg. No. 7734
DR. BY CLJ SCALE - I" = 301 o DENOTES IRON MONI. BEARINGS ARE ASSUMED OATUM.
IPtEPARED FOR: I JACOBSON SURVEYORS
Tillges Construction
20936 xolyoke Avuaue LAKEVILLE, MINN. 55044
Lakeville, MN. 55044
PHONE 469 - 4328
; c, r? - ??'+
r-xrERzcR ENvELoPE av?RAcE ,:u" CaMPurarioN
G'JiN E F
5ITc ADDRESS "•y cL,? ?,?.,t°3,w ,??", ?'-?. ',,?,?,',!r
i..JN7{r{i.lvR
70?'> ?r?r'=s`i,,,?! -;f"' fi!'i :Jn:- ?:I%; IF'.=?•• ?ii??t gli'sf' ;j?,R6?"
,
D8'`L&,u7lrc W0:^nln5 5qUd1"G 'iGC'Lcy"0 Oi° 0uCf1. ,
1. 70 td l GXpGS2d 4Jd l; aY'2a . . . . . 2,..rr'sC?, ? Sq. ,`t. X
2. TOi.al 'fOG°/COi 1111g d't0d .... SC, ft.. X-jn,M =
, 73tai expos2d wal'i G:^ea above f:ocr = %,? 0'07
n. 70'Ldi Wu'l W1;:dObV dr2d ........................... 2077 Z ,r`;D
J. 70tdl dGG;" d'f2d ................................. _ LY,?
C. (Oi.u' Si ?C?'IP.?j' g7d55 ?00'.^ dY'2? . ............
u. ;otai :ire?lace wa71 area ....... .... .......... z?oa
e. To tal wa i 1 fr-mi ng a,^^ ( avera,e : 0%; . . . : . . . . . . .' 16.0' ? .rz)
'
f. T0td't ;12t ld'a17 d'f0d dNOV2 S':OG;" ...............'.. ,?.? ?
07 TiOidl i^im jviSt ZY'2d .... ....................... /7?
"i o?a1 ek?csed •; o?.:dGii or. araa = 17? ??r '
h. Ta-cal ;ou;.dat:or wtrcow a:^ea .... ....... .. _,._
't. T0di n2'L ¢OUilGZi,7Gn d1"Cn cb0`12 gY'dCte ...........!-12- . .. , .
. . 172i.@Y:1iP12'c;Ur•*V81i:E C{ C'dCf' Wdii S9gm2x±.. . . .. .
x uuh ? _ rZd C?
X
d. O?. ?bD X ,:?TU" , !q
X ??U"
, ? r ?ll1?J?, ;rg X uu
X 'v"
h. x :iui: . _ ._.m..
X ?Utl
J . ...................................10t3l - Z G,?Cr
7T l teift ir'3 'f S t}l8 SdmC' d5, 0'f i 255 t11dn l tcii: 41, yOI; I1dV2 T2C the ir:tent
Oi SBC 6006(C)2.
:
. Total er,posed roof/cei;ir,g area =/,5o D
j. 7otal sF;y1ignt area ........................ .
G:. ?o•t al roof/ceng `°a,r,ing area (zveraee ?C?).. /53 eo
' I. 7Dtd1 net l(lSUIa?CG' :'Du`?CA`:Ilf.g c:^cd........ .. 02'E'r`-`'- f? 7 y»"?v<r?,wl4--
', ; D2i.2Yi7iln2 uUn Vd'IU° "Gi 22Cf1 1'00'?C21i°?f?G 5°Gw@I^it.. ' .
j._2?'t. /G?, x ?? .?a<r.?,' =. %/Ofi •
k. /63,oo x Wj 1)
• 1.-??.?-°? X
?---- ?
4 ........................ .. ...7vta1 = t SSt f3f? ?.
I` total or" =4,4s tne sare as, or iess than ='2, you have n°t the intent of
53C 6000'(c)1.
Alt2rnate Buiicing Er,veiope Design
7o utiiize tne totai enveiape system ;m tnod, tne values establisned by tne
SU[0 0? 1LEr,5 '3 dfld ?d S,rd1Z t1D. ?il0 gY'2ct°r $hcil i,h0 SUTI 0` li,eTS Yl.•dfld =2.
1' --??r mS + 2. -9cl')
.S"
4
„ ,.. ,
- i
2/84
? CITY OF EAGAN
APPLICATION FOR PERMIT
- SEWER AND/OR WATER CONNECTIODI
(PLEASE PRINT)
1) PROPEfYI"I ApDRESS: ?Oy 3 ?
tFr.Ar DESC'RI°TICN:
(Lot/Bloc}c/Subdivision or Tax Parcel I.D. NLanber)
i^r E{I :='_ :G ST'.-2L`CT[Uc2E, DrlTE Gz' ORIGL dAI, nuILDIt;G PL?41T 255'JAiC°:
P2F'=_7 _"^`7I`{;/PR(J°CSED L'SE: t!A R-1 S-=LE r^P:A.I:,Y
? R-2 DUPLEX (MO UiVITS)
[3 R-3 TOWNHOUSE (THIM + U!VITS) ( UNITS)
? R-4 APAR= 'P/COrIDC1mPiIILi?i ( Wi ITS)
? COMMERCIAL/REI'I1IZ,/OFFICE
p LMUSTRTAr•
Q INSTITUPIONAL/C',OVII2a,?
2) APPI,ICPNT (PLEASE PRINT)
NF?1E :
ADDRESS:
CITY, STATE, ZIP; .
PHONE:
j) pm-mBER EAS
r FOR CIT USE ONLY
NAME:
'
'
-er,
-
. ? •
ADDRESS: A?yy, PLUNBE LICENSE:
Aetive
CZTY, STATE, ZIP: Expire
f
PLIIMBER LICE E=//i' f Hecord /
NSE J1 , C nitia
(PLEASE PRINT)
¢) pCCJpp,NT/awNER
NAN1E'
ADDRESS:
CITY, STA'IE, ZIP:
PHONE:
5) INDICATE WHICH PERNLiT IS BEING REQUESTED:
CODIlVECrION 'In CITY SEWER
coL11cvEcrzo;v To crTY wATeR
? (7lIIEF2 (PLFASE DESCRIBE)
6) L"7pI= 0.E:
E] PLE'1SE HOID APPROVEp PERtiLiT FOR PICK-UP BY O6IE OF ABOVE
? PLEaSE MAIL APPROVED PER[VLLT TO 1, 2 3, W ABOVE-
(Circle one)
I 7) SI?A'IL'!?E: ) J
?
DATE: ?C/1 Ni
Y J
??!lt.alil#Ai?il?ll?:????f?l1tl.RSS??#als?i .. . . Wk?FaF' f?3ins?fMltlks?l??s?cw
F 0 R C I T Y U S E O N L Y
PERMIT ° ISSUED
FEES: $
S
$
$
$
$
$
. $
$
S
$
S
$
$
$ TOTAL
$ AMOUNT PAID/RECEIPT #
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PURL7C ROADWAY" MUST BE ISSUED BY THE
? NO ENGINEERING DIVISIO[V. LIST AS A CONDZ-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
5E "tiEo nEqMri (I`;CL:;D: SU°CF.?R('E)
1
WATER PERMIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLLiDE CORPORATION STOP)
SEWER T??P
ACCOUNT DEPOSIT - SEWER
ACCOUN^1 DEPOSIT - WATER
WAC
SAC
TRUNK ;JAT°R ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRUNK WATER
OTHER
04 sso w+? ?WZM mcw ?c? ia w=m wUM rt mw f ft ww *ta w,w pe ?:m qw-m w.a 1%.Nja aMM wL40 ncm Wa Wjft wm
CITY U5E ONLY
PERMIT #: 51M RECEIPT DATE:
s --w, JV
2002 RESID-EIVTIAL MEC#A1ViCAL PEftM1T APf'L1CATION
crrY or ensnrr
S$SO PII.OT KA08 RD
EAk6AN bllV 55122
651 -6$1-4675
Please complete for: ? single family dweAings
townhomes and condos when pertnits are required for each unit
Date: ? 4-v O-S
SITE ADDRESS:
?
OWNER NAME: TELEPHONE#: ?e+Y-3
INSTALLER NAMF AN6ARp HEATINO & AIA GONDITIQNING C0. 7ELEPHONE
MINNEAPOLIS, MN 55408-2998
STREET ADDRESS: 612-824-2656
CITY: STATE: ZIP:
Place a check mark next to the permit wark type
? Add-on, modification or alteration to existina dwelling unit $ 30.00
. furnace replacement
• air exchanger
• air conditioner
?
?
. other JAN ?
?
Nature of work: ?C C? C?
U 2003
By
State Surchar e $ 50
" 3n
TOtal
SI ATU ERMITT I/02
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
2002 COMMEftCIAL MECHAIYICAL PERMIT APPLICA'1'ION
CI1'Y OF £AfiAP1
3$30 PILOT KNOB itD
KAsAx, huv 551s2
651-681-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DAin: I
SITE ADDRESS:
OWNER NAME: PHONE #:
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAMEi
INSTALLER:
STREET ADDRESS:
CITY:
TELEPHONE #:
STATE: ZIP:
WORK TYPE: _ New construction Install U.G. Tank
_ Interior [mprovement _ Remove U.G. Tank
_ Processed Piping
Specify Nature of Work
When installing/removing underground tank, ca[1 851-681-4675 for inspection by Flre Marshal and
Plumbing inspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is geater.
Underground tanlc removaUinstallation = minimum fee
Contract price: $ x 1%= $ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATURE OF PERM[TTEE
Updated 1/02
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA123118
Date Issued:05/29/2014
Permit Category:ePermit
Site Address: 2043 Kings Rd
Lot:011 Block: 003 Addition: Vienna Woods
PID:10-81950-03-110
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Gregory Tstes M Bristol
2043 Kings Rd
Eagan MN 55122
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA123119
Date Issued:05/29/2014
Permit Category:ePermit
Site Address: 2043 Kings Rd
Lot:011 Block: 003 Addition: Vienna Woods
PID:10-81950-03-110
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gregory Tstes M Bristol
2043 Kings Rd
Eagan MN 55122
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature