1451 Kings Wood Lane'
a• -?. .,
Wel.'tifiCQt¢ 0f cCClipQ1iC4
iKitv of ?agan `
IZepartmeut of 13xiibing aui?pection
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifyircg that at the time of issuance thes structure was an compliance with the various
orrlinnnces of the City regulating building construction or use. For the following:
Use Clusifintion: SF QE Bldg. Pertnit No. 2"55
Occupancy Type 96.411 Zoning Di,wicY ??. Type Cons[. tr.r
Owrcr of Building S C Address ,
u , M:bM
Building Addcess 145-{ IMM-crM ?n Locality
s f
j 1 aate-
, ?8mMM OWid W "
POST IN A C(3NSPICUOUS PLACE ?
? CtTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: '
i r; r: r?? i,? ??s i
? + i r,l, . 1,00111 1 AIVr.
I PERMIT SUBTYPE:
?N RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
? APPLICANT: '
t?rl.') titi4 !•'I?)Q
TYPE OF WORK:
?
hi, I I
N
' 4 r I?, N„
!
A
:
:
i G4 JN .
.
c, l1)q
Vt t4i1
INSPECTION
, , "?. .. .
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i!•rtMf i ?#t, f. ?tiif ll?lt?
I I?J .?11 !s I i ??N I?+:I 1 I rt? ;
I N t I I:t, i Id 'I I ?
+ I144,1 I Ilit, ? iMr+1
I r'i 1hA Rki
b Lt 1' i N R - ki t' N.' k Y A N N i. f tt,
I F -1
I
Permk No. Permk Holder Dete Telephone N
SNV
PLUMBING ? /U Ay
HVAC
ELECTRI
ELECTRIC
Inspectlon Date Inep. Commente
Footings I %O
Z
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg,
Isul.
? /-
Fireplace ?
Final Htg.
Orsat Test
Final Pibg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bidg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN
? 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
. , I s . . . t
SITE ADDRESS: ; ; . • 0,, ,;,
tI N6 . 1?ii cil1 t,ttJl
PERMIT SUBTYPE:
, . ,
PERMIT TYPE:
Permit Number: '' ' ? ?' • d'
Date Issued:
, APPLICANT:
TYPE OF WORK:
i rrilA I I rfr,
INSPECTION .• . ..
I ,,'1i+k.'.
I'F PtkMCi IS kFW11itV EO inl{ nf
F
I
-------------------
I N(i Itk 1'. 1 II 1 li 1 1. A 1 I4t)!t I
?
_J
Permit No. Pormft Holder Dats Telephone •
ELECTRIC
PIUMBING
HVAC
Mspection Dab Insp. Commenb
FOOTINGS
FOUND
FRAMING
7v
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL Gw-4 /D'T ,!' .
BSMT R.I.
BSMT FINAL
OECK FTG
DECK FINAL
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
? 651-681-4675
New Construction ReauiremeMs
• 3 registered site surveys shovring sq ft. of lot, sq. ft. of house; and all roofed areas
(20%mazimum lol coverage allowed)
• 2 copies of plan shmving heam 8 window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan'rf lot platted after 717/93
• Rim Joisl Detail Op6ons selection sheel (bldgs with 3 or less units)
DATE 12-A -7 IO (
JOB SITE ADDRESS I'4 S t K'i Y1G5 w 00C? LGVI-r-
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER MQj- L iYA 3 & U 7_0.v1Yl£. SY-Co,?n
TYPE OF WORK ZXn SPw\er?-1~ P?.e.rn.oc?? I FIREPLACE(S) _?_ 0_ 1_ 2
APPUCANT TZOVI(:.C)(" COt'l.S'f'rUC±?O()' lfl,C. PHONE#q52-688'552S'
ADDRESS l0-1,4 O S4llE CSI00'N\IYYn"?1PCODE55q2-0
PAGER # CELL PHONE # FAX # GSZ-$ g?'O Z SS
NIEM RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor:
Plumbing System Includes:
Mechanical Contractor: _
Mechanical5ystem Includes:
Sewer/Water Contractor.
Air Conditioning
Heat Recovery System
All above information must be submitted prior to processing of application.
Fee: $90.00
Phone #
Fee: $70.00
Phone #
I hereby acknowledge that I have read this application, state that the informafiion is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or fi nces.
Signafure of Applicant ?11 ? "- - "
Cer:ificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/01
Water Soflener
_ Water Heater
Nc. :,: Bat: s
?
RemodellRepairReauiremenls I
2 copies of plan J"„ ??? ?
• 1 set of Errert?y Calculations for heated addihons-? _-?
. 1 site survey for extenor additions & dacks
• Indicate it hane served by seplic system (or addihons
VA4UATION 31, v OU• c) 0
Phone #:
Lawn Sprinkler
1Vo. of R.I. Baths
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened)
? 05 03-plex ? 11 10-plex 069 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ' PIbgXY or _ N ? 25 Miscellaneous
? 31 New X 35
? 32 Addition ? 36
? 33 Alteration ? 37
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
?
-!
Q 30 Accessory Bldg
? 31 EM. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
Int Improvement ? 38 Demolish (Inferior) ? 44
Move Bldg. ? 42 Demolish (FOUndation) ? 45
Demolish (Bldg)` ? 43 Reroof ? 46
*Demolition (Entire Bldg only) - Give PCA handout to applicant
Occupancy k - ?_ MCIES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth
REQUIRED INSPECTIONS
Footings (new bldg)
Footings(deck) FinaUNo C.O.
Footings (addition) Plumbing
Foundation
Drain Tile
Roof Ice & Water Final
Framing
Fireplace _ R.I. _ Air Test _ Final
Insularion
Siding
Fire Repair
W indows/Daars
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Sidmg Stucco Stone
_ Windows (new/replacem ent)
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
ciry sac
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
FinaUC.O.
?
? HVAC
Building Inspector
? G 0 u U? ?X? 0 ti/
LiCJ! ?
Total
/W&5 gv/
C? 617 0 4 ao ,8/ ' p?n? 'i ov
Repuest Date
I(
-7- Fire N oughdn Inpsenron Repwretl
ingpeciot w1en ready)
(1'ou mus call Ins echon OtM1er T?uBh-In
ReeGy Now Will No01y InspBClor
1 Yes
O
Reatl
Oate
I licensetl contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (SVeet. Box or Route i Ci
ry
? ?
c n Na Township Name or Renge No Counry
,
OccupantlPRINT?
-
?, ?- Phone No
?-
Pow}er Suppli r T-? ?
L ^ Atldress /
Elecincal Conlracror (COmpeny Neme) ?
.
,
; ector§ License No
i? "
" 2 'o
?-• P c,
Maihng Atloress IConVactor or Owner Makmg Installatia ) _ ?
g U /' S1:x
AmhorrzeE SignaNre ICOnVacro n f //nJpryy,.?M1'n/51a11 1?pn) Pho/ni?a Num(`?
vl
MNESOTA $TATE 90qq0 OF EIECTPICITV v V THIS INSPECTION REOVEST WILL NOT
ggs-MlEwey Bltlg. - Room Sd73 BE ACCEPTED BV THE STATE BOARD
1821 Unlverelty Ave. SL Paul. MN 5510C UNLESS PROPER INSPECTION FEE IS
Phone(61Y) 662-0900 ENCLOSED
Address 1451 KINGS WOoD LANE Zip 5512 2
Lot. zo Blk I Sub KM hum Znm
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: fQ 5? Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage) ?
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder [he removal of roof test caps from the plumbing system and the shuboff of water supply to
the oufside lawn fauce[ before freeze potential exis4s.
Contad wgineering division at 681•4645 before working in right-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
REQUEST FOR ELECTRICAL INSPECTION
? Sae mstrucUOns lor completmg this form on back of yellow copy
? 17 0^ '+ "X" Below Work Coveredby This Request
m?N#EB-0OOOt-0e
;
ew Add Rep - TypeofBwlding AppliancesWved EquipmentWired
Home Range Temporary ServiCe
Dupiez Water Heater Elechic Heating
Apt BuAding Dryer Load Management
Comm /lndusirial Furnace Other (Specity)
Farm Air Contldioner r
O[her (syeary) n raaors Rema
v ?-
Compute Inspecfion Fee Below
# Olher Fee if ServroeEntrenceS2e Fee # CucuitslFeetlers Fee
Swimming Pool D to 200 Amps 0 to mps ,iC
Transiormers Above 200 _ Amps Above Amps /
Signs inspector5 use Onty TOTAL
Irngauon 8ooms
Speciallnspection 9
Alarm/Communicatton 0RDERED
THIS INSTALLATION MAY BE DIS NN ECTED IF NOT
Other Fee COMPLETED WITHIN 18 M -HS. •
I, the Electrical Inspector, here by Rough-m
certiy thallhe above inspection has
been made. F,?ai o
OFFICE USE JNLV
The request witl 16 manIDS imm
PERMIT# Kx 3 7
RECEIPT DATE:
8008 PXSIDE1VTiAL PLUbi$INfi PUMiT Ai'PLICATiON
crrY og EAsm
3830 Pu.oT xivos gn
gABAA,11?P 55 122
651-681-4678
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS: !`'? l I I?e?v 6 ! JO,?CL ?-
OWNER NAME:: Y\P'.? ? \ ? V\ ??VCc l.ti L^
INSTALLER NAME:
TELEPHONE #:
(AREA CODE)
TELEPHONE #: a C( L ? ! 7 ?
(aRea, cooe>
STREET ADDRESS: G/ it ( t/F!?Y 6?2/
CITY: STATEA/1 ZIP:f:EaEL
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
?"Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water tumaround - existing dwelling unit (+ /g" m
if needed -$11S)
t
? r
e
y
,
^
,??
Other:- -,L- ?V?YGOI/V\
_ RPZ: new installationlrepair/rebuild $ 30.00
_ lawn irrigation system
Replacement/additional: _ water softener _ water heater $ 15.00
C
State Surcharge 9 $ 50
i 7oaz t
TOtal
?- $
lw;;r
I hereby acknowledge fhat 1 have read thls application, state thatthe information is correct, and agree to complywith all applicable City of Eagan ordinances. It
is the applicanYs responsibiliry to natiTythe pmperty owner that fhe City of Eagan assumes no liabilily for any damages caused bythe Ci during its normal
operational and maintenance activitles to the factlitfes constructed under this permit within City property/rightv yfjeaseme
L?
SIGNATURE OF PE ITTEE 1/02
?
? CITY USE ONLY
PERMIT #: RECEIPT DATE:
IDERT1FtL MECRANICAI. PERMIT
crrYoFiL?sM
„ .. : . ' , . , 3830 Pn.or icivos FIRn.
FABAA 1NA 551 EE
651-6$1-4675 '
. r
I/Pj0I02 -
CIVN 4-1
cs-?. f3 . n ?FS ?3
Please complete for. D single fam dwellings
townhomes d condos when permits are required r each unit
Date: ?- °a- \- C? !3
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS: jta1 C) tz, c?`t
CITY:
Dl.ra e chnr4 mer4 nevT fn fhu nnrmi} w6r.
TELEPHONE #: b? ? (?
(aaea cooe)
TELEPHONE#: Cos I - 4('0
(AREA CODE)
STATE> • ? ZIP:
' _ . .?\.. ._ _. . . _.
fiIY1P
New residentiai dwelling unit u er constructionand not ownerlocc ied $ 70.00
? Add-on, modification or al ration to existin dweliing unit $ 50.00
• furnace replace ent
-» air exc an
• air con i iLo-n
• other
Nature of work:
;
State Surchar e .50
l .14 N 2 5 2002
7ota
Reminder: Call far inspections.
G ATURE OF PERMITTEE
Updated 1/01
CITY USE ONLY
PERMIT #:
APPROVED BY:
RECEIPT DATE:
INSPECTOR
COMMFRCIlkL li3ECi3ANICi41. POi1VI1T "PLICATtON
CITY Oi' EA6M
3$30 PILOT RNOB itD
. EAOkA, b!N 55188 '
651-6$7-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #: -
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS,THERE A PREVIOUS TENANT IN THIS SPACE?' •. Y_ N. NAME;
INSTALLER:
ADDRESS: PHONE#: -
i
CITY:
WORK TYPE:
SpecifyNahue of Work:
_ New constxuction
Interior Improvement
% Pmcessed Piping
Install U.G. Tank
Remove U.G. Tank
When installing/removing underground tank, call 651-6814675 for inspection by Fire Marshal and
Plumbing linspector.
Fees: 1% of contract price OR $50.00 minimum fee, wlrichever is geater.
Underground tank removallinstallation = m;n;mnm fee
Conhact price: $ x 1% _$ (Base Fee)
State siucharge calculate at $.50 for,each $1,000,Base Fee
TOTAL $
, • . ?
(AREA CODE)
STATE:
ZIP:
SYGNATURE OF PERMITTEE
Updated 1/Ol
,
CONTROLLED AIR, INC. 0 0 9 5 6 5
',CItY 0'f Eagan (EAGAN) Fage 1
DESCP.SPTION INVOICE NO GROSS INVOIr-E DISCOUNT NET Ahf7
t/22102
14511(SN3SW00
50.50 0.00
50.50
50. 50
0.00 50.50
CONTROLLED AIR, INC.
21210 EATON AVE. Flrst Netional8enk oi Farminglon, MN 75 346
32a Oak SVeet
Feemingron. MN 55029 919 0 0 9 5 6 5
FARMINGTON,MN 55024 (612)463-7761
9565
1/22/02 ********50.50
DA7E AMOUNT
EXACTLV Fifty and 50/100 Dollars
PAY THIS CHECK NOT NEGOTIABLE
TO THE SIX MONTHS AFTER DATE OF ISSUANCE
ORDER C=rv oF EAGaN
oF: 3830 F'TLOT I<N06 P,OAD
Eagan, MN 55122
i14009565,1' 409 i90346 24 2 L 1i0711'
:r„-;:?;t.'i?-:?'^`:e=.?:;'nF,".^.r;ryr:?FS°,+i1.5'.?`?'vr.z'..:;'r'.? .,:ar(?^r„f,+-?'S'?C`w{-t'F:^-';?":r.:'v?:G'^:'R?;,y;"'n.;?t4tS.?.?•.fi•L'c,??S?4T?. - ?
, . ? , . -
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: euxLozNG
3830 Pilot Knob Road Permit Number: 0 2 4 6 5 5
Eagan, Minnesota 55123 Date Issued: 10 / 0 6/ 9 4
(612) 681-4675
SITE ADDRESS: Lo T: 20 B L 0 C K: 1 APPLICANT:
1451 KINGS WOOD IANE PETERSEN CONST, SVEND
KINGS W000 2ND (612) 884-5144
PERMIT SUBTYPE:
SF DWfi
TYPE OF WORK:
NEW
INSPECTION
FOOTTNGS ., .
FOUNOATION .•
FRAMING ROOFIN6
INSULATION FIREPLACE ?
ROU6H IN PLBG ROUGH IN HTG
FINAL PLBG FINA1.
REMARKS: S& W PLBR - GENZ-RYAN pLBG
F
L
?
? CITY OF EAGAN
3830 Pilot I(nob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
o
024655
10J06/94
SITE ADDRESS:
1451 KINGS
LOT: 20 BLQCK:
KINGS WOOD 2N0
P.I.N.: 10-42001-200-01
W000 IANE
i
DESCRIPTION:
B?uilding .Permit Type SF DWG
Duilding Wor.k Type NEW
%UBC Occupancy \ R-3 M-1
Construction Type V-N
Zaning '-? R-1
/ Building Length ? 78
Building Width ; 32
?- Bpilding stories ? 2
"'_?_5
`quar.e Feet 3,937
?
\
I (( r ? ?` ? r ?
REMARKS:
5& W PLBR - GENZ-RYAN PLBG
FEE SUMMARY:
VALUATIQN
Base Fee
Plan Review
Surcharge
SAC
5AC ?
SAC Units
Subtotal
$898.50
$584.03
$87.@@
$800.00
100
1
$2,369.53
$174,000
MISCELLANEOU5 $1,828.50
Total Fee $4,198.03
CONTRACTOR: - Applicant - s7. LIC. OWNER:
PETERSEN CON57, SVEN? 18845144 0001769 5 PETERSEN CONST INC
10214 PARK VIEW CIR 10214 PARK VIEW CIR
MINNEAPOLIS MN 55431 BLOOMINGTON MN 55431
(612) 884-5144 (612)884-5144
I hereby acknowledge that I have read this
information is rrect and egree to comply
Statutes and y of Eagan Ordinances.
L
APPLICANT/PERMITEE SIGNATURE
application end state that the
with all applicable State ofi Mn.
J
??cCt?
ED BY SIG URE I k
1404
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
? ?? ?'? y •
? ?
2 1 1:9',
f?-4_
SIN6LE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
?
Date
Valuation of work ?? ?0-0r?
Site Address: U
STREET SUIiE #
Tenant Name: (commercial only)
LOT a90 BLOCK l ff/ AJ a
r ew JCYp
SD I
D
P
SU
.
n
T ,
.
. #
Descri tion of work:
The applicant is: ? Owner Contractor ? Other (Destribe)
Name Phone 11
Property LAST IRST
Owner v
pddress
ST ET STE il
City State Zip
Company,-? . ??7?`?-Sc?? r_70iv5L- !A? C--Phone eT"f -S7`e?`f
Contractor Address lO oZl4z ?A?K {?lEC? dt2c License # l7?! Exp. 25?
City ?vL O ory-sn/e- TO State k^? Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read thi pP lication and state that the information is
correct and agree to comp ly with all ap ' able State of Minnesota 5tatutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./lodging
19 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch O 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
woRK nrPe
? 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Leogth
Depth
APPROVALS
Planning
Engineering
.pA-1
?`BASf/hrn'L`
179
:3 2-_
, ., ..
i ... M ...a. ? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facllity
? 21 Miscellaneous
? 37 Demolish
Basement sq. ft. os" MWCC System
lst F1. sq. ft. i7? City Water
2nd F1. sq. ft. 134q PRU Required
Sq. Ft.
Foot
rin total =?
t S
ft Booster Pump
Fi
S
i
kl
p q.
. a b „o/sro? re
pr
n
er
On-site well iQ?6T??,V
? )Census Code
On-site sewage
- SAC Code
Census Bldg
Census Unit
Building
Variance
REQUIRED INSPECTIONS
? -Site
? Wallboard
? Footing
? Final
Assessments
/o/
I
A,Framing AfInsulation
? Draintile ? Fireplace
Permit fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
YaltmtSm: $ l QQO
f 9 T looQ
19. (G x la = ? ag. 92
'«sX 9.r>=<.23, 75-)
3a x iy =
3 ? X ZZ..IN
VA .1" /L, e w.T
?54. 3.3 ?ff3= R3s:Cr
- < 13.1 4X A> _ ?67, qz'T
-?Z)sX9.s> _ -La3 7s>
- < , I s ,tszs = -< 3, 93y
j --osX is--
-7 K 1.3' ?3l`?XS?' 1
oJn.Q r/oc?
19,1?Kiz= aaC/ 92
3lx3&=ii144
-G ? X
2G`K 30 = 780
171, x/6=
i?
10i06i94 07C44 S 612 423 2255 CHRS NOUAK qRCH7
Cactificate of llovse Locetion Fcrr: +'l3-40
svem9 Petersen cvnstruction, xne_ 9'?G'99
to219 rark vleW circlo
eltromingkon, HN 55431
DEL.MAR H. SGHWANZ
tFND lURV[10111. INC.
MaMMM Unav Url pl tM OINI Ef IIinMnMt
1A/5D BDU114 R09ERT TRAII. ROSEMOVNT. MINNfSOTA E0000 e12/4:3-+7e9
{
??I fi pMP
9URYEYpi1'3 CER?IFICATE
?av.i1
? - - - v/?? /n/FjG E 01..
,
20
\\
'?
L C fi ?:
. REViC`dV `:;?
6 3Y• /
/?--
? \ !
90?4
? "'• lv 912•0 4233 %
.?
? ?.- N C.?<rt?•? 1
A e
in.li ? yu .
+y@.
4 'y +q
Q%?
?
??IhT qo3A ?_ 2..10
? ?'-
A 6?1y 6
l°?
N
\
q??? Scele: 1 inch = 30 f.eet
?_'I
F?.rJJ.'S
L.?
I
-?
i
16?
? I
,,?..
p = iron pipc monament
p = Set wowd hub
02
X?y =,Sxisting spot clevation
U m Proposed e.levation
Paoposed garage floor elev. 9o3.q
r? Propoeed l:op of block blev. y
??1o.z
? a - -
?-Fropoeed lowesc ievel elev- /,
hrr
i: ? Addreae: 1451 Rlttae flood Iane
_i ..q?;.._i_- i
-r
' i
EAAG.?AT IVG EER G DEFT.
?fo
? ? :ye}D , 14
1-4 v R ?
;?v
I ?TP (,"rb ? N V ' "?
Descrlptlon:
vJ? . )°u ,1`?.----
? Also shoring the location of a proposed
N house as skeked thereon.
Lat 20, Dlock 1, KINGS WOOD 2ND MDI21011. ecctlcding Lo the
recozded pxat khereof, Dekota County, Minnesotie.
1 hereby eerllly IhN MN Suney. pten, or ropod wa
prepered by me Or undet mr dirlel topenlslan end
thsl l!m 0 duly ReplNered UnA 9urvlysf Under
Ihe Iswe el lhe 91He ol Mlrmaeots. •" "-[i"/' ?'? r i.?f: I: ???? ,
7 DHmv N. 8ehwlnL ?
06-09-93 Mlnnaole RoOletra11on 46. es4! /
09-70-94 Chsn9ed houAe , ?
?
?
Id?O
,0
C? 0
?D
?n
D 0
1
19
?
0
0
D
0
0
D
0
LOT BQRVEY CHECRLIST FOR FESIDENTIAL
BUILDING
PROPERTY LEGALt
DOCIIMENT BTANDA ns
• Registered Land Surveyoz siqnature and compeny
• Sullding Permit Appiicant
• Legal description
• Address
• North arrow and.baa scale
• House type (ratnbler, valkout, split w/o, split entzy,
lookout, etc.)
• Directional drainage arrows with slope/gradient t.
•Proposed/existing eewer and water services
• Street name
• Driveway
?0
0
• Existina
Sewer service
P? ? 0 • Lot corners
/0 ? • Top of curb at the driveway
_
0 0 0 • Elevations of any existing adjacent homes
profloaed
?D D • Garage f2oor
V0 0 • First floor
F D • Lowest exposed elevation (walkout/window)
0 • Property corners
13 0 • Front and renr of home at the foundation
PONDING AREAB (if aiDaiicable)
13
0 2, p • E?asLement line
a ?' o - xwL
0 ?__/? • Pond # desiqnation
D 0 O • Emergency Overflow Elevation
?
D • Lot lines
? 0 • Right-of-way and street width (to back of curb)
? G 0 • Proposed home dimensions includinq any proposed decks,
overhangs grenter than 21, porches, etc. (i.e. all
' structures requiring permanent footings)
a
13 13 • Show all easements of record and any City utilities within
/ tho6e easements
0
0 0 • Setbacks of proposed structure and setback of adjacent
existing homes
13 D • Retainin a 1 equirements, if any _
October 1992
23
S & W 3f35
S40L.F.
W29 L.F
R-8I
BSMT. ELEV. 903.5
IS
SEWER S VICE
INV. ELEV. 89E
'IGAL) 6"-I/8 BEN[
_ANOUT 31.0'
^{
).d
39.d
n
s e w 2+7o f
S 44 L.F. '
W 34 L.F. ?R-B?
I
894.1
19 '
? ? -• r I ? ??'?''? n?? ,-, r?1'S 9''W5'-F6/
,Y Gr- U I!'.; I°! f n;;,'''S $9 C.F.
,W4.6.CF
-8T4.91
F'U9i-011:?? R7/4'.'
.v. IT '!;-IC ? 22
S9W If60
S 41 L.F.
W 34 L.F.
878.8
59.5' 20
?? 63.0'
wv\? D6"-I/16
S & W Of65
S 42 L.F
W 35 L.F.
886.7
.:::7 - 2f1(5
cr' Picdu
/--CL ANC}UT
SEWER SERVICE
INV. ELEV. 887.0
13
BSMT. ELEV. 89Q5
S S W /+65
S 44 L.F.
W55L.F. ?
?
52.6' ??
IW 84-99
S 40R?.F.
W 59'L. F
R ,9'
?
M,
21
?
,
/GATE
i END
SEWER SERVICE
INV. ELEV: iJ6g-914 898.9
BSMT. El EV. 903.5
S & W 3+99
S 76 L. F
W 86C.F.
R-7I
.? -.
SEWER SERVICE I?
INV. ELEV. 888.0
12 980?- .
I
65MT. ELEV. 891.5 ?
.
.
= ST > ?
;,
355
MINIMUM WALKOUT ??- ?
GRAf?E FOR LOTS 85MT. ELEV. 887.5 ?
I I,12 AND 13, BLOCK I, I
IS 891.5.
S 9 W 9+39 66.5S 39L.F. SEWER SERVICE
W 49L.F. INV. ELEV.-684;$- /
R- 6' 879.8 78.O,L ?
rr
?
I
`6-
38.',
6" x 6'
HYDR
BSMT. ELE
s'°>iie, ii3z aEn
6
-? ?SEWER SERVICE
INV. ELEV.-8$2.
'6"- I/8 BENL}
?J 78.5' '
s a w ro+o4
Contrector S. Petersen Const. Inc.
Job Lot 20 Block 1 Kinas Wood Ln Energ v calculation
11122/93
1 Total exsposed wall area 2871 0.11 315.81
2 Total rooflCeiling area 1312 0.026 34.11
T o t a 1 349.92
A Tolal window area 442 0.32 141.44
B Total Door area 38 0.128 4.86
C Total sliding Glass area 40 0.32 12.80
D Total fireplace area 20 0.128 2.56
E Total framing area (av.70°h) 287.1 0.119 34.16
F Tot. net wall area above floor 1753.9 0.045 78.93
G Total rim joist area 239 0.047 1123
H Total foundation Window area 0 0.32 0.00
I Tot. net foundation above grade 51 014 7.14
Total #1 293.13
J Total skylight area 0 0.32 0.00
f#### Tot. roorlceiling framing (10%) 131.2 0.049 6.43
L Total net insulated rooflceiling area 7180.8 0.0193 22.79
Total 02 29.22
Total of land 2 322.35
INSPECTION RECURD
CITY OF EAGAN PERMITTYPE: surLorNG
3830 Pilot Knob Road Permit Num6er: 0 2 6 5 2 0
Eagan, Minnesota 55122-1897 Date Issued: 1 e/ 10 / 9 5
(612) 681-4675
SITEADDRESS: P'I.N.: 1e-42ee1-2e0-01
APPLICANT:
LOT: 20 BLOCK: 1
1451 KINGS WOOD LANE PETERSEN CONST, SVEND
KINGS WOOD 2ND (612) 884-5144
PERMIT SUBTYPE:
BASEMENT FINISH
TYPE OF WORK:
ALTERATTON
INSPECTION
FRflMING D. .
INSUI_ATION DA
ROUGH IN PLBG FTNAL
REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
? .. . . . . . . . . . ,_ . ?
L J
-? -?
I PERMIT C/ZOs,? 903?3
CITY OF EAGAN
' 3830 Pilot Knob Road PERMIT TYPE: g uILo z tv s
Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 5 2 0
(612) 681-4675 Date Issued: 10/ 10/ g 5
SITE ADDRESS:
1451 KINGS WOOfJ LANE
LOT: 20 BLQCKa 1
KINGS W00D 2ND
P.C.N.: 10-42001-200-01
DESCRIPTION:
1 1dPermit l°YGe
'.6'U1ld1"q'-'0o,r-k l'yPe
?? ? . . .
P,
o ? 'SPt
f . ' ^ ` „3ry.Fii.?
l
xi in
"'`?. Z? ' x ' . ?ye•a
o-:. r3d.:?'{'+t°? FAY'" a t a•?3"}`d?w.?e..
3 n
e ?F {f
.fm dt ? ff145ih 3I 3
?'(°' i w g v°?_
;,`'„,;o.
8ase Fee $35.00
Surcharge __1.50
Total Fee $35.50
µ. bik± F
Sey
'-'61. a' ?:55
REMARKS:
A SFPARATE PERMIT IS REQUIREIJ FOR ANY PLUMEING OR ELECTRICAL WOftK
FEE SUMMARY:
CONTRACTOR:
PETERSEN CONST,
10214 PARK
MINNEAPOLIS
(612) 889-5144
- ApplicanY. - 5T. LSc
SVEND 18895144 0001769
VTEW CIR
MN 55431
E3ASEMEN7 FINSSH
ALTERA7ION
N
I7
6
OWNER:
S PEl"ERSEN CONST
10214 PfiRK VIEW CIR
BL00MING70N MN 55431
(612)884-514A
?
T hereby ackn•awlBdge ti'?Eiat I T Ftave {eard,,thz,t 4PP?I??4tTaaa? A 41 d sti?tq` ???t ", vrt?
3nformatiarr is' c6rr?kct.40d_plqr,6 e; '?ampI? w-ith ?11d 5ta*e c?f1Mri
statutes ?i?y lDf 6a gam 0 r?f,3,r??inee?.?_ .? ?
.
? APPL? MITEE SIGNATURE ISSUDB4 51G? ???TURE ?-
CITY OF EAGAN
? 3830 PILOT KNOB RD - 55122
?201995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681 -4675
? 3 regiatered 4ke wrveys
? 2 copies of plena (indude beam 8 window saes; poured fid. desfgn; etc.)
? 1 energy calaladonc
? 3 coples W Uee presenatlon plan H bt ptaGed etler 711/93
isquired: _ Yes _ No
? 2 coPies of plan
? 2 site surveys (exterar additlons & decks)
? 1 energy calwletions Por heated addkions
DATE: 5 zs CONSTRUCTION COST:
'5 6 v-ZD
DESCRIPTION OF WORK: i leav ^
STREET ADDRESS:
LOT ;? BLOCK
PROPERTY
OWNER
CONTRACTOR
ARCHITECT!
ENGINEER
??.?? f'?/nJC9 S G??O U.? /- ?? t?`7 ?r? r+?
l
Name:
SUBD./P.I.D. #: ???-?' `? ??/vo ?? ?? 'v c
u.,
ma
Street Address,
City:
State: Zip:
Company:,2,
Street Address: 1UPVK License #: /7L °/
City; ?? c?D???•dG i???-' State:
Company: Aloe-
Name:
State:
Street Address*
City:
Sewer 8 water licensed plumber:
change are requested once permit is issued.
Phone #:
ZiP. 55 v3 /
Phone #,
Registration #•
Zip:
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the infortnation ?s rrect and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. ?.?
Signature of ApplicanG L_ -??'?
?
OFFICE USE ONLY ?- Certificates of Survey Received Yes No Q 5 1995
Tree Preservation Plan Received Yes No '" -- -
li'?
OFFICE USE ONLY
"
plt 1
BUILDING PERMIT TYPE . ?
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging c!r- 16 Basement Finish
0 02 SF Dwelling o 07 4-piex o 12 Multi RepaidRem. 0 17 Swim Pool
? 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. 0 10 = plex o 15 Deck
WORK NPE
0 31 New ?-33 Alterations o 36 Move
0 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code o/
Census Bidg i
Census Unit O
APPROVAL5
Planning Building
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Treils Ded.
Other
Copies
Total:
_ Engineering Variance
Valuation: $ _ IsGD
°k SAC
5AC Units
. CI'fY USE ONLY
L o?0 g? ? RECEIPT#:
SUBD. DATE:
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
_ Add-on air cunciitioning Firepiace conversion (to exisiing firepiace)
Date: / 1?5
W?
? Minimum Fee: Add-onlRemodel (existing residence only) $20.00
? HVAC: 0-100 M BTU lqaj1000 24.00
Additionai 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each) (O.G'D
? State Surcharge .50
TOTAL '2?
?
51TE
OWNER NAM
INSTALLER NAME: 1???r ic -
STREET
PHONE #: W`r ?/0
?
CITY: I)YV/MSTATE:RAJ ZIP:
PHONE #: ( 621Z ) 7Z3 II `-? `? ° ?
CITY USE ONLY
L BL RECEIPT
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
C1TY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are not required
for each dwelling unit.
DA i E:
CDNTP.ACT P12iCE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ?$25.00 minimum fee gl 1% of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of pg= fee due on all permits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS: _
OWNER NAME: TELEPHONE #:
TENANT NAME: (iMPROVenneNrs oNLY)
INSTALLER:
ADDRESS: _
CITY:
PHONE #:
STATE: ZIP:
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
L- 0 CITY USE ONLY RECEIPT#: ?5. g6v
+?? BL ?
Y?-C ? //elq'?
SUBD. o ?aa DATE:
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES
Shower
Water Closet
Bath Tub
Lavatory
Kitchen Sink
Laundry Tray
Hot Tub/Spa
Water Heater
Floor Drain
Gas Plping Outlet * minimum -1
Rough Openings
Water Softener
Private Disposal * oakota cty. iicense
U.G. Sprinkler' home under const.
Alterations * to existing
Water Tum Around
EACH
NO.
TOTAL
3.00 x
3.00 x
3.00 x
3.00 x
3.00 x
3.00 x
3.00 x
3.00 x
3.00 x
3.00 x
1.50 x
5.00 x
20.00
3.00
20.00
20.00
STATE SURCHARGE
TOTAL
?
.?
?
-?-
?
?-
Ob
Da
10.06)
I-C7.00
" .66
d
oa
17 60
.50
SITE
OWN
INSTALLER
STREET ADDRESS: '`i r-1. ? ??-
CITY: W' wLal
'
PHONE #: (Wz) q23-11
cirr use oNLY ,
L _ BL _ RECEIPT #:
SUBD. DATE:
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commerciai/industrial buildings.
? multi-family buildings when separate permits are 1]Qt required
for each dwelling unit.
DATE:
CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION ADD ON
DESCRIPTION OF WORK:
REPAIR
FEE: $25.00 minimum fee or 1% of conhact price, whichever is greater. State surcharge of $.50 per
$1,000 of ggrr ' fee due on ali permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS: _
TENANT NAME:
OWNER NAME: -
INSTALLER:
ADDRESS:
CITY:
PHONE #:
SIGNATURE:
APPLICANT
STE. #
STATE: ZIP:
CITY OF EAGAN
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1451 Kings Wood Lane
Lot: 20 Block: 1 Addition: Kings Wood 2nd
PID:10- 42001 - 200 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: Pictures are not acceptable in lieu of inspections.
612 - 825 -3353 markwhite@nort hruproofing.com
Fee Summary:
Valuation: 3,000.00
Contractor:
Northrup Roofing & Remodeling
4400 Nicollet Ave
Minneapolis MN 55419
(612) 825 -3553
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Mark White 440 0 Nicollet Avenue South Minneapolis, MN 55419
Owner:
Marlin A Braun
1451 Kings Wood Lane
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA077109
03/28/2007
ePermit
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA111707
Date Issued:07/09/2013
Permit Category:ePermit
Site Address: 1451 Kings Wood Lane
Lot:20 Block: 1 Addition: Kings Wood 2nd
PID:10-42001-01-200
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Renae Frienwald
2200 Hwy 13 W
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Marlin A Braun
1451 Kings Wood Lane
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA121008
Date Issued:03/10/2014
Permit Category:ePermit
Site Address: 1451 Kings Wood Lane
Lot:20 Block: 1 Addition: Kings Wood 2nd
PID:10-42001-01-200
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Renae Frienwald
2200 Hwy 13 W
Burnsville, MN 55337
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Marlin A Braun
1451 Kings Wood Lane
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA121170
Date Issued:03/17/2014
Permit Category:ePermit
Site Address: 1451 Kings Wood Lane
Lot:20 Block: 1 Addition: Kings Wood 2nd
PID:10-42001-01-200
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Tony Boerner
2090 County Road 42 W
Burnsville, MN 55337
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Marlin A Braun
1451 Kings Wood Lane
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
06/12/Z014 THU 16: 09 FAX 612 922 5a09 A1' A Maeter Plumpimg Im00?/003
'� C-� � (� U ����� �j�-o`3 �( :��0�;. ��� �
� � 1�=c��n
� Use BLUE or BLACK Ink
i �------_--_-------,
i � For Office Use I
Czt of�a an � f� ��� �
1 Permil tt:
o � /� U�ry i
b � Pemtil Fee_ �V� 1
3830 Pilot Knob Road I �
Eagan MN 551Z2 I DateReceived: �
Phone: (651)675-5675 j i
F1X:(651)675-5694 � Stai�____r _____ �
�rJ
2p�4 RESIDENTIAL PLUMBING PERMiT APPUCATioN
Date: � I Slte Address: ��� ` "`��1J�p�� l.��l
Tenant: 5ufte f�•
�" �:W.�'; � � �('� (
� "' � l.)-E�.�Vl(� I�'rl.l Vdl Phone:���' -!-�,��"R 1� �
! �� Name•
I
��� '° Address/Clly/Zlp: S�'�
5,�.,.�,
J " �C C��I 3�v �
� � Name: �,�x a�a�;��;�,�u- License�:
��, u�,; dha•8cnjamin Franklin Plumbin�
I '�i+"� Address: iazll�as�r �ity:
�� "� ��p � .
�•,: /-
d�LL��;,, State: Zp: Phone: lo� � ����– ����� a
i •�x y� Contact: c �'�Y�1 � �..���mall: �P YlV1/� tJ��CJ l� 10� ✓1
I� � ��,
�V '� _Now _Replacemcnt _Repair �Rebuild �Modify Space _Woric in R.O_W.
I �, . Description of work:
� �U'"�" a�SID�NTIAL
I
I '' _Water Heater
! Water 5oftensr
; n�`��r ' ' _Lawn Irrigatfo 'RP I_PVB) —
� _Septic System _Add Plumbing Fixtures(,�Main/_Lower Level)
_New _Water Turnaround
Abandonment
RESID�NTIAL FEES:
$60.00 Water Heater,Water Softener,or Wator Haator and Softonor(includes$5.00 State Surcharge)
$60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures,Septic Svstem Abandonment,Water 7urnaroundW{includes�5.00 State Surcharge)
� °Water Turnaround(add$200.00 if a 5/8"meter Is requlred)
$175.00 5eptic System New($10.00 per as built)(includes County fee and$5.00 State Surcharge)
' TOTAI.F�ES$ ,
CALL BEFORE YOU DIG. Call Gopher State One Call al(651)4540002 for protecGon against undergmund utility damage.
. Call 48 hours beforQ you intend to dig to rccEive Iocates of undcrground utilities. wuwr_goaherstateonecall.ora
' 1 hereby acknOwletl9e that this informalion is comptele and accur�te;Ihal(he work will be In conformance wlth lhe ordinances a�d codes of the City of
Eagan;thaf I underslantl lhis is nol e permil, bul only an applica(ion for a parmil,and work is nol to slart without a pertnit;that the work wifl be in
accordance wilh the approved plan In the case of wnrk whlch requlres a rovlew and approval of pl
� X �� Yl Y� i�� �,�oc��1 X
ApplicanYs Printed Name Appllc 's nature
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178468
Date Issued:08/18/2022
Permit Category:ePermit
Site Address: 1451 Kings Wood Lane
Lot:20 Block: 1 Addition: Kings Wood 2nd
PID:10-42001-01-200
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 -
Marlin A Tste Braun
1451 Kings Wood Ln
Eagan MN 55122
Ashton Mcgee Restoration Group Llc
5555 W 78th St, Suite J
Minneapolis MN 55439
(952) 426-3736
Applicant/Permitee: Signature Issued By: Signature