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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