2090 Kings RdCITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: 0 ;;'•
i,?Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
,. , ; , l?,, , ii • f . ? . , t, ?,i; I rli? ? i? ? ht?
PERMIT SUBTYPE: TYPE OF WORK: ,. rPa r I
1.1 R001
INSPECTION DA . D•
N( MARkS 7fA1if?FF AMU RFRt1Uf
F ?
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Permft Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FWSH
MAINS
CONDUCTIVITY
TEST
HVDROSTATIC
TEBT
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
CITY OF FAGAN '
CASNIE.F: S TEFMINAL NQ: 781
AATE? 07/24/38 TTHE: 12:47:33
ID;
NAME: WALF.F_R FOOFSNG CO ING
321.0 9001 2030 hINGS FD 87.'r?5
2155 9001. 2090 t:INGS fiD 2.00
Tot,al. f:eceipt Amoun+,: 89.25
CFib95267
UBEF :fn: NANCY
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
2996 KINGS ftD
L07: 1 BLOCK: 1
.]EAN ADf]ITION
P.I.N.c 10-38600-010-91
DESCRIPTION:
REROOF
SmsPermit Type
,Fu?i,14a.r=wwq?r'ldArk Type
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.3
:.?'1:
?anrv.s?
rs : b
PERMIT
PERMITTYPE: ffi?6zvc
Permit Number:
Date Issued: 0 7/ 2 4/ 9 8
SF nWG ?-?
REPAIR
0.34 ALT. RESIDENTIAI
wu s? ,?:r.
',p`- wgp,s ' 3s.,
?&?'IYia? ?":yT Iffi??n.
F*,iaF k-' ?& ,? ??'r w?=a
I31&.t'+?: ????' ?tl$(LG? kF ?8
REMARKS:
TEAROFF AND REROOF.
FEESUMMARY: vALuATZON $4,000
8ase Fee $87,25
Surcharge $2.@0
7ota1 Fee $89.25
CONTRACTOR: - Applicant - sT. "G OWNER:
WAIKER RUOFING CO INC 17292325 0004229 STOKES GREG
2701 36TIi AVE S 2090 KINGS RD
MINNEAPOLIS MN 55406 EAGAN MN 55122
'(612) 729-2325 (651)781-9225
???" I herehy.-???krtawled;g? thot,l. x?Yf,av?e read this
`?'xn?a,rmat:??.n is c?r;rect .aiitl ag.rse ts? 'c?mpkY,
L _ _ .. . _ p.. .... .... , __ t ..,. .. ? .v .?. _ . . . ..._.. . ? m- . .,.
APPLICANT/PERMITEE SIGNATURE
a ta:ori aad SGdta tfitot;,the" ? l
?. .t_ .?._.. _?_ ... '?j
v\SVW Ww I R?
SSUED BY. SIGNATURE
199tBUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
-,? VD- 3830 PILOT KNOB RD - 55122
6814675 -1 gg, aL?
New Conshuction ReauiremeMS SemodeUReoair ReauiremeMs
. -7-ay-9
? 3 regiatered site surveys • * pcopiey o{ pian
? 2 copies of Dlans (indutle beam & wirMow naea: poured fid. desgn; e[c.) ? 2 site surveys (extertor additlona & decka) .
? 1 enargy calculadons ? 1 energy nlalatlona fir heated additlans ? 3 coples of trea preyervation plen if fot platted aRer 711/93
requtred: _Yes
DATE: / - // - CONSTRUCTION COST
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT k_ BLOCK ? SUBD./P.I.D. # ??? ? ? ? -S ` 6 ?-\
PROPERTY Name: Q;2 Phone #: /*ES
OWNER
Street Address: 02-?? re---
City: State: Zip: 5t)I ZZ ?
CoN7RACTOR Company: Phone #:-V--)-t ?4=z? )
Street Address: 3 rXX License #:
City:State:
ARCHITECT/ Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
Ciry: State: Zip:
Sewer & water licensed plumber (new construction ony):
and bt change are requested once permit is issued.
Penalty applies when address change
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with ali applipble
State of Minnesota Statutes and City of Eagan Ordinances.
Signature ofApplicant 4X ?
OFFICE USE ONLY
CeftiFicates of Survey Received
_ Yes _ No
Tree Preservation Plan Received - Yes - No - Not Required
RECEIVED
JUL 24 1998
HY.?i?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation a 06 Duplex o 11 Apt./Lodging o
? 02 SF Dwelling ? 07 4-plex o 12 Multl Repair/Rem. o
0 03 SF Addition o 08 8-plex o 13 Garage/Accessory o
? 04 SF Porch ? 09 12-plex o 14 Fireplace n
? 05 SF Misc. 0 10 = plex o 15 Deck
WORK TYPE
? 31 New ? 33 Aherations ? 36 Move
? 32 Addition -11?-34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq.ft.
Planning Building Engineering
Variance Permit Fee Valuation: $
Surcharge 2 -o 6
Plan Review 0 ? d "
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total: P9. a5
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MCIWS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unft
% SAC
SAC Unita
KIJ(S WFVO
u bq°E 304.1-r
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Date u?--l 1?
EAGRN Ei GI1iEFRING Dr.P"r.
Pp os. No. 87? - rr
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694 Q-
New Conshuction Reauirements RemodeNteoair Reauiremenfs OlflceUse OnN
3 registered site surveys showi?g sq. ft of lol sq. it of house; and all roofed areas 2 mpies of plan Aof SgrveyHecd
(20% mazimum btave2ge allaved) 1 set of Energy Calculatlonsfor heated additions ee,Pres Ple[i??i?i?
2 copies of plan ahowing beam 8 window sizes; poured found design, etc. 1 sile survey for addi6ons & decks rree,Pies??'?,4t??'.d; N
isetofEnergyCalahtions AddRion-iMicateAon-sdesepticsystem ?A*Se'lotiGS¢ete?,???='=;?
3 copies of Tree Preservation Plan ff lot pWtted atter717193
Rim Joisf DetaB Options selection shcet (bldgs with 3 or less unifs d p(j
? 9.?v -=
Date 3 ,p?I C"on?struction Cost 1 (?-
/C i nqS E[iy,4,.i j4q((/ UniUSte #
Site Address ? dFo 1'?
Description of Work l'FOUS'e , 4eK20Ff y kCAwil W,?kdoid eX}
Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 _ 1 _ 2
Property Ow¢er ? ?'??I C 4?? ?' V ?? ? b7 Telephone #(0'/ ) 6 b 6-?/?
Contractor gELA ROOFING & REMODELING INC.
Address
State 4100 EXCELSIOR BLVD.
ID#OOOlObO Zip ?ity
Telephone #(bly )? 3 Sb y6
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y N If so,. 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
11, i
Telephone #(r
I? ?
Telephone # (??
li I! .iI hereby apply for a Residential Building Permit and acknowledge that the inforniation is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City if E`agan and the St e of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
111.I,-A.64,. 4? k,---. C NQ a
ApplicanYs Printed Name ApplicanYs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-ptex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 MuIG Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applieant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Foorings (new bldg) _ FinallC.O.
_ Footings (deck) _ FinallNo C.O.
_ Footings (addition) _ Plutnbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas T ests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
Use BLUE or BLACK Ink
For Office Use
I Permit / O Cy
CRY of Eajan
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122
I Date Received:
Phone: (651) 675-5675 I
Fax: (651) 675-5694 Staff: > j
- - - - - - - - - - - - - - - - - J
2010 MECH,ANIICAL PERMIT APPLICATION
Dater Site Address: 20C hu^cA
Tenant: UN Suite
RESIDENT I OWNER Name: 4ttw- 51'e by Phone: 651 gogs-
Address / City / Zip:
CONTRACTOR Name: Hee.L` Q ~ t4`hc ~Ge License 1W
/x7yl~ I
JXf>
Address:: ,r City: & ni
State: yy ' Zip: ~f~C f Phone: `-7,6-','
Contact: V 'Rf 4 n e et t°Se e-N Email:
TYPE OF WORK New Replacement k__Additional Alteration Demolition
Description of work: 04/
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace _ New Construction _ Interior Improvement
Air Conditioner Install Piping Processed
Air Exchanger Gas _ Exterior HVAC Unit
_ Heat Pump _ Under / Above ground Tank Install / _ Remove)
Other When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract value $ x1%
$50.50 Minimum (includes State Surcharge)
Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge increases by $.50 for each Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 no to witho a permit; hat the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x a t~ r ~ySe toy x
Applicant's Printed Name A plicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections. ---Under Ground - pough In Air Test _Gas Service Test -In-floor Heat -Final
Exterior HVAC Screening Inspection
Use BLUE or BLACK Ink
-F ----t------------ I
I
hisity 11 p T Ea ~ Permit
Permit Fee: V
3830 Pilot Knob Road f~
Eagan MN 55122 j Date Received: `w
Phone: (651) 675-5675
1 staff.
Fax: (651) 675-5694
~.----------------J
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ✓ 1 Site Address:
Tenant: Suite
RESIDENT / OWNER Name: NR Phone:N.'57-f `v 6'C/7-6~ ~-sue
Address / City / Zip:zpgo N '5S 1 ~2--,
Applicant is: Owner / Contractor
TYPE OF WORK Description of work cam' ~ VE _`QZ l_ - rewo v-c ox e Qv-A
Construction Cost: Multi-Family Building: (Yes / No~)
CONTRACTOR Name: K N~iv lcK License ZI
Address: 13422. 6M IN- 0- city)F+W yk-'~'" /
State: , "14 Zip: J^~~24 Phone: ~P~ • 2_4 t t (P
Conta 5i~Email: i- 4t-A
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
`Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information- Portions of
the information may be classified as non-public if you provide speck reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Gall at (651) 4540002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.-gopherstateonecall.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 pla
x CG i'le- x Z"~'
Ap lic nt's Printed Name i s ign re
/~/X- Page 1 of 2
y r
.t
M . by ~ A i ~ . " i
- 9 ~ - ` -
i f;
1 ;
, a R
v'e' ~ ~
< ~ b+'
r . ~
' .
i
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DO NOT WRITE BELOW THIS LINE
SUYE
S
Foundation _ Fireplace T Porch (3-Season) ~ Storm Damage
fi Single Family _ Garage _ Porch (4-Season) Exterior Alteration (Single Family)
_ Multi _ Deck _ Porch (Screen/GazebolPergola) 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 T Windows _ Demolish Foundation
_ Replace _ Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation 10 Occupancy MCES System
Plan Review Code Edition SAC Units
(250/q_, 100%~ Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: Ice & Water -Final Pool: Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath Stone Lath Brick
Fireplace: !Rough In Air Test 'Final Windows
Insulation Retaining Wall: Footings _ Backfill _ Final
Meter Size: Radon Control
Erosion Control
Reviewed By: 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 2
C; 0,9 C-) A ln S Xd,
.A.10HANA
CONSTRUCTION INC
License # 20580521
651-274-3116
April 22, 2010
Estimate for:
Shane and Erin Smeby
Job location: Bathroom
Summary of jobs:
Prep work: *Disposal included in estimate
Remove existing tile flooring
Remove existing the on walls and in shower
Remove existing toilet, vanity, sink, and faucet
Remove existing wainscoting/sheetrock behind
Plumbing:
Move radiator if possible - will not know until demolition is complete - estimate
includes allowance for approximate cost to move
Install new toilet
Install new soaking tub/drain/faucet/showerhead
Install new sink faucet
Electrical:
Install new light
Install 2 new outlets
Install new vent fan
Install heated floor and transducer
Walls:
Install new sheetrock where old was removed
Mud, tape, sand all new sheetrock
Prime -1 coat and paint - 2 coats, light colored paint on walls
Tub/shower installation:
Deliver and install tile backer on walls, will go approximately 5' above tub - shim out
walls to make shower as square as possible
Deliver and install 10 x 16 tiles in straight brick pattern on walls
Deliver and install bullnose around tile border in shower
Grout, seal, and caulk shower walls
Deliver and install 2 recessed shelves - one large and one small - estimate includes cost
to center shelf in wall, if able to center without additional labor, cost will go down
Deliver and install the sheets in recessed shelves
Deliver and install accent listello
Install client provided accent tiles (3) with pencil piece frame
Floor and miscellaneous installation:
Deliver and install the backer board on floor
Deliver and install heat mat and thermostat
Deliver and install 12 x 12 or larger tiles in diagonal pattern with matching tile base
Grout, seal and caulk tile floor/base trim
Deliver and install vanity and solid surface countertop
Deliver and install mirror and curtain rod
Face frame closet door and install new double doors
1
Use BLUE or BLACK Ink
For Office Use
3S 7 9 1
City of Evan ; Permit I
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 L Staff: -----_C
2010 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date:. Site Address: daZ
Tenant: A, if
Suite
RESIDENT / OWNER Name:
~ dl W-P . Phone: _ SJ'- 6~~ - sue
Address/ City/Zip:
CONTRACTOR Name: License gz,?-z0 11
Address: ..s City: Wib~ , IAItc. lAk,
State: -/44- Zip:,, '-0 7 Phone: A Sr/- ,Z'OF-_L ~
Contact: Email:
TYPE OF WORK _ New ✓ Replace qnt Repair _Rebuild - Modify Space - Work in R.O.W.
z
Description of work: ( k-6~ets
PERMIT TYPE RESIDENTIAL
Water Softener
Water Heater
Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
"Water Turnaround (add $166.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.goi)herstateonecall.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.
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test _Gas Test Final
CITY of >:QiaN WATER SERVICE PERMIT
.379.rr-. Piiw Knob Road PERMIT NO.:
Eagan, MN .55122 DATE:
Zoning: No. of Units:
Owner: -
Address:,
Site Address: 6
Plumber.
Meter No.: _ Connection Charge:
Size: ` Account Deposit:
Reader 'No.: Permit Fee:
1 agree~to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date Insp.: 7-.4Z - S/ 2 I nsp.:
clnr ,oF Ea N SEWER ;SERVICE PERMIT
37956Pilot°lnob Road PAIT~NO.: a'
Eagan` MN- 55122 DATE:
Zoning: - - N-o. of Units;
Owner{ -
Address A
Site Address:
Plumber:'
agree to comply wit the City of Eagan /nnection Charge
Ordirafiees. /Account Deposit:
1, a i< ; y Permit Fee. = i
By Misc., Charges:
Date of I nsp >
Z
Ins • > Dgto PQid "3 a
For Office Use
, % i : ; � Permit#:
.� �� •,,,,# ,�✓UEAGAN �
``..' "' Permit Fee: l(/�J
�1
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:
buildinginsoections(acityofeagan.com L
2019 SEWER AND WATER REPAIR / DISCONNECT PERMIT
Date: l0 ^ Cl ^ 1 I Fee: $65.00
City Sewer City Water 1--4---Repair Disconnect
Description Of Work: 4 �11 (_ca -tJ c Ael J e (1 Yir -tf Alert�,4borS
Dc--;VC_k.-.)Cy,.
Street Address for Proposed Work �C-3 1 ° k t%ha S R o
Name: j0 h n 9! l7) Phone: S08-36G- osrt
Owner Information Address/City/Zip: i0 P s Po 0r t r1 S'S/ 22
Applicant is: Owner Contractor
Licensed Pipelayer Master Plumber Property Owner
Name: if S 1 V' ftG`ersdb ll le\Cir Phone: 6S/ - 9/93 - 3>9V
Address/City/Zip:49.3SS d-„:(`U:-ew Qu.e 3 71 r oSeec.; 1 k S f 13
Pipelayer Training Certification Card#: or Master Plumber License#: Pm 0-60 /(ict G 61139-4
"' ' 9-4
I acknowledge that the information is complete and accurate and 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 i. not a permit, but only an applic-tion for a permit, and work is
to start without a permit.
j 0b - alp el '
Ir "IF
Applicant(Print Name) Applicant's Sign. d re
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.citvofeagan.com/subscribe.
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
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA176836
Date Issued:06/03/2022
Permit Category:ePermit
Site Address: 2090 Kings Rd
Lot:1 Block: 1 Addition: Jean
PID:10-38600-01-010
Use:
Description:
Sub Type:Air Conditioner
Work Type:New
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John Ryan Bessermin
2090 Kings Rd
Eagan MN 55122--234
(808) 366-0518
Home Energy Center
2415 Annapolis Lane N #170
Plymouth MN 55441
(763) 476-1990
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178243
Date Issued:08/08/2022
Permit Category:ePermit
Site Address: 2090 Kings Rd
Lot:1 Block: 1 Addition: Jean
PID:10-38600-01-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
John Ryan Bessermin
2090 Kings Rd
Eagan MN 55122--234
Central Minnesota Renovations Inc
4731 165th Street W
Lakeville MN 55044
(952) 224-6087
Applicant/Permitee: Signature Issued By: Signature