1456 Kings Wood Lane• • ; ,?
Wertificate vf Cccupancv
Witij of Cf agan
meoartaieat of 13x0iug 3uOpectioa
7'his Certifrcate issued pursuani to the nequirements of the Uniforrn Burtding Code
certifying that at the time of issuance this structure was in comptiance with the various
ardinances of the City rrgu[atrng buildrng construction or use. For the following:
usc awifKafmm: SF DW aiag. PLrmit No. 21835
0-P-Y TYPe R3'"1 z,,,w08 Ehsold R I TYPe Const. VN
o..f mw;,gAR,M_iM SfDG (8W Ad&. 14551 M RD 11, BLO15VII1.E
suiw;,?g nmnm 1456 KINGS iJOM I.ANE t,oca;ty L I 5 B I KINM W0M ZNID
_? _ S /- paze, c?,•? %
Boildig ORicial ?
POST IN A CONSPICUOt1S PLACE
?
' CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: J„,
r i N_.. t..i„uf
f
PERMIT SUBTYPE:
k mli INI,
Iirt:l+lnttnN
I ; !; i I'tAf.E
Fr F Pi !i i"t k. `,?'p !; !r W 1' 1 ti t:
?
f)I li(' 1? 1i I:liy•; V
vSPECTION REC4RD
PERMIT TYPE:
PeRnit Number:
Date Issued:
APPLICANT:
4 ANt FJt, 1 iFrl I?ilNtt '.
TYPE OF WORK:
F RAM i N i,
I 1NAL
tii+ i t t? 1 Hs,
0.'1 tt III
011/Hlfr1.i
i
? I
__ ? I
Permit No. Permft Holder Date Telephons #
S/W
PLUMBING
HVAC (/O ? D
ELECTRI
ELECTRIC
Mspection Date Insp. Comments
Footings I
Foundation
Freming iG ' •
Roofing
Rough Pibg. D_ 4s
Iv j{
III
Rough Htg.
laul. ,
Fireaece c4o
Final M9.
orsat regc j f -3043
Fnal Plbg. Plbg. Inspector - Notily Plum6er
Const. Meter
EngrJPlan
Bidg. Fnal
i
Dedc Ftg.
Oeck Final
Well
Pr. Disp.
.+ :
? u" z s-? 11_"_
?' P
Address 1456 KINGS WOOD LANE Zip 5512 ?
I.ot 15 Blk ? Sub Kam wooD 2ND
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector: S
Final grade (6" from siding) i/
Permanent steps (garage)
Permanent steps (main entry)
Permanentdriveway
Petmanent gas
Sod/Seeded gtass ?
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential existc.
ContaM engineering division at 681-4645 before working in rightof-way or ins[alling undcrground sprinklet system. ?
White - City Copy Yellaw - Resident Copy Pink - Contractor Copy
M .23058
REQUEST FOR ELECTRICAL INSPECTION
I, See instmctions lor complefing tpis torcn on back oi yellow copy.
'X° 8elow Work Covered by T6is Request
? a.o00o, oa
?? /-3y3b'
ew Adtl iAe!1 ? Typeofewldmg AppliancesWired EquipmentWired
'nome Range Temporary Service
Duplex Water Heater Elecinc Heating
Apt Building Dryer Load Management
Comm./Intlustrial Furnace Other (Speciry)
Farm Air Condihoner
Olher(specdy) CqnVactorSRemarks.
. . ?..-w
Compute Inspectian Fee 8elow: a"
# Other Fee # Serwce EniranceSize Fee # Circuits/Feeders ee
Swimming Pool 0 to 200 Amps •?9 o m 100 Amps
Transformers Above 200 _ Amps Above 700 _ Amps
SiJfls Inspeclor5 Use Only ^ TOTA?
Irngalion Booms ? ?'?
Special Inspection Y
Alarm/Communication THIS INSTALLATION MAY BE D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M T
I, the Elecincal Inspector, hereby Dete
certify that the above inspection has
been made. F,,,ai oeig
OFFICE USE ONLY
This requesf voitl 18 months irom
M? Z 3 0 5 8
nv o0
'
$ a?
5 ? ?ro(ca?
Fequesl pate Frte o ough-in InSpecLOn
Rcqw? Call Elecincal Inspeclor
NOTICE: You Must
I( A Fough-In Inspeclion
J es p N. ea
Is Reqmr
I icensed contractor ? owner hereby r equesi inspection of above electrical work at:
Jab Atltlress (Sheet, Box or Route No C`ly
Seceon No Townsihp Name No Range N. Counry
Ocm (PRINT) / Phone No
PowerS p
6er Atldre
ss
?
q /
/
ElecVic I Contraclor(COmpe ny Name)
M ConiraMarS Lmense N.
(?1-9z?171/
ading Atltlrass (Conhaclor qvnar Making InstellsUOn)
Author¢eG gnaf ( 4 e. Mekinq In ) PMne Numbe
6
MINNESOTA STATE BOAHD OF ELECTHICITV THIS INSPECTION REQUEST WILL NOT
Griggs-Midway eltlg, - poom 5173 BE ACCEPTEO BYTHE STATE 00ARD
1821 University Ave, SL Pnul, MN 55104 UNLE55 PROPEfl INSPECTION FEE IS
Phone(fi12) 8424)800 ENCLOSED
Wy'
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when pemuts aze required fox each unit
Date -/V -/ 46 /
Site Address f? s(? F[ A G.S rv ?015 Unit #
Property Owuer Telephone # CS 7}`c?
Contractor ? j,o
Address Q46 City E'L
?
State (/VL bi Zip r S?? Telephone #?fn
C
The Applicant is _ Owner
ontractor _ Other
Septic System New _ Refurbished Su6mit 2 sets of plans and MPC license $ 100.00
lnGudes County fee. Adtlitional consultaM fees may apply.
Alterati To Eaisting Dwelling IInit, Including $ 50.00
_ Adding fiMures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter'rf needed -$121.00)
_ Other ?G11?9_ YV`.a_?J-
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water soFtener _ Water heater $ 15.00
_ replacement _ additional "-;? ?
'
)
n I
i
i
?l
5tate Surcharge ? ! ? ? ?
?? Jj
.50
Total BY
-
-
.-
I herehy apply for a Residential Plumbing Permit and aclrnowledge that the information is complete and accurate; that the work will
be in conformauce with the ordinances and codes of the CiTy of Eagan and with the Plumbing Codes, that derstand this is not a
permit, but only an applicarion for a pemut, and work is not to start without a pemilt; that the work w' be ' accordance with the
approved plan in the case of work which requires a review and approval of pl
Applic Ys Printe Name ApplicanYs Signa e
RESIDENTIAL
BUILDING PERMIT APPLICATION
GTY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construetion Reuuiremenls
• 3 registered site surveys showing sq. ft. of lot, sq. N. of house; and all roofed areas
(20°h mauimum bt coverage albwed)
. 2 wpies of plan showing beam 8 windaw s¢es; poured found design, elc.)
• 1 sel of Energy Calculations
• 3 copias of Tree Preservatbn Plan d lot plattad after 7/1193
• Run Joist Detail OOtians selection sheet (hldgs vnth 3 or less units)
DATE (9 ' C:2> ` (::)Q--
SITE ADDRESS
TYPE OF WOR
RamodellReoair Reauirements
. 2 copies af plan
. 1 set of Energy Calculations for healed additlons
. 1 site survey far exledar add8iors 8 decks
• Indicate d home served hy sepfic system for additions
TION '
APPLICANT '???MMV MOO1CIlIlV9 & 510?Vg, Q?QC.
STREET ADDRESS ? 49 Soatn Owasso Blvd. _CITy STATE_ZIP
Linie CanaUa, NN 55117 FAX # s 8a-
TELEPHONE # k($y - t ?' - - J ?
? -------
PROPERTYOWNER TELEPHONE#
--------------------------°----------------------------°-------------------------------------
COMPLETE THIS SECTION FOR "NEW° RESIDENTIAL BUILDINGS ONLY
Energy Code Cate9orY - MINNF,SOTA RULES 7670 CATEGORY 1 MINNESOTA RULFS 7672
(J submission type) • Residendal Ventilation Category t Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: _
Plumbing system includes:
Mechanical Contractor.
Mcchanic:il systcm includes:
Sewer/Water Contractor.
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Fee: $90.00
Phone #
? Tee: $70.0
AI? I I
Phone #'??'. ' I
ov
TI-FAMILY BLDG _ Y _ N
FIREPLACE(S) _ 0 _ 1 _ 2
.___„
is correct, and agree to comply
n / ?
----------------------------------------------------------------------------------
I hereby acknowledge that I have read this appliCation, state that ihe infor
with all applicable State of Minnesota Statutes and City of Eag,9n OrS#fi
Signature of
OFFICE USE ONLY
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_V or_ N
? 20 Paol
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessary Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteradon ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings(deck) FinaUNo C.O.
_ Footings (addition) Plumbing
_ Foundation HVAC
_ Drain Tile Othec
Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final
- Fr?B _ Siding Stucco Stone
_ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Appraved By
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemotleVFteuair Reauirements Office Use Onlv
3 registered site surveys showing sq. ft aF lot, sq ft. of hause; and all roofed areas ^2 copies W plan ' Cerf of Survey Recd
(200/ maximum lot coverage allowed) set of Energy Calwlations for heated add'N"ons
i Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured fowM design, etc. '
n
?I sfle survey for additions & decks Tree P2s Not Reqd
1 set of Energy CalcuFaUOns Addfion - irMicate HarsRe septic system _ Oo-site Septic System
3 copies of Tree Preservation Plan if lot platted after 711193 ^
Rim Joist Detail Options selection sheet (bldgs with 3 or less uni5
Date 4 S //5' / 03
SiteAddress t`fsE X,"'„ss i
Construction Cost ?' eW
La„r Unit/Ste #
Description of Work lr?-
Multi-Family Bldg _ Y X N Ftireplace(s) _ 0 x' 1 _ 2
PropertyOwner ff-.?v Q.- l'f• ? ?Xe-?l GA rs&? Telephone#( bSl
Contractor ?%v,+?co+.+...? ,`c ??. (?'c,.o,.?.P ? ?-vu? ??-?, f•a-?'s
Address
State
Zip CiTy
Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Mumesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , ResidenUal Ventilation Category 1 Worksheet ? • New Energy Code Worksheet
(J submission type) Submitted Su6mitted
• Energy Envelope Calculations Submitted
Licensed Plumber
%P?f 'V
Telephone # (
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a 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 ApplicanYs Vgnatuie
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E#. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ;Z 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex pibg)(v or _ N ? 25 Miscellaneous
Work Types
? 31 New 35 Int Impravement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bldg) - G fve PCA handout to applicant
Valuation
Census Code ?
SAC Units ?
Nbr. of Units -
Nbr. of Bldgs
Type of Const ?
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
_ Foundarion
Drain Tile
Roof Ice & Water Final
? Framing
Fueplace / R.I. _,(AirTest kFinal
Insulation
Occupancy
Zoning
Stories
Sq. Ft.
Length
W idth
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
FinaUC.O.
? FinaUNo C.O.
P1uxnUing
? HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wal]
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: Lor : 15 B L.0 C K: 1 APPLICANT:
. 1456 KING5 WOOD LANE ARLINGTON HOMES
KING3 W000 2N0 (612) 432-9725
PERMI o?UBTYPE:
TYPE OF WORK:
NEW
BUILDING
021835
09/01/93
INSPECTION .. . ..
FODTING FRAMING
INSULATION FINAL
FIREPLACE
REMARKS: S& W PLBR - OLBERG CONST
? ?
A 'CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
??--
y/?.?s3
BUILDING
021835
09/01/93
SITE ADDRESS:
P.I.N.: 10-42001-150-01
DESCRIPTION:
1456 KING3 WOOD LANE
LOT: 15 BIOCK: 1
KINGS WOOD 2N0
PERMIT
.--?
Buildi-ftg?,Permit Type 3F DWG
Building Wo,rk Type NEW
f-l7BC Occupen&`q? R-3 M-1
Construction Type V-N
Zoning R-1
? Building Length
; Building Width
f
. r,
i-
V,?
f?
72
54
? ?u n)
REMARKS: , _..?----
S& W PLBR - OLBER6 CONST
FEE SUMMARY:
Base Fee
Plan Review
Surcherge
SAC
SAC %
SAC Units
Subtotal
VALUATION
$1,059.50
$688.68
$11@.00
$750.00
100
gz,6es.is
$220,000
MISCELLANEOUS $1 744.50
Total Fee $4,352.68
('(?NT{?p('7'OHq -OME3 - App11
?1TtLIR?T?6N
13774 PRINCETON C7
SAVAGE MN 55378
(612) 432-9725
14329725 0003200 1KL-IFfG1bN BLDG OR
COUN7YROAD 11
BURNSVILLE MN 5$337
(612)432-9725
I hareby acknawledge that I have read this
information is correct and agree to comply
Statutes end City of Eagan Ordinances.
I
application and state that the
with all appli'cable State a'f Mn.
IS-ft D BY. ?I?
93 CITY OF EAGAN
I?BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surve senergy
calcs. f'?vf?,;Y?
COMMERCIAL
2 sets of ?
architectural & structural pl ns;?o?
specifications, 1 copy of energy calcs _
Penalty applies when typing of permtt is requested, but not picked up by last wor i g day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date f//? / Yaluati n of work ,? S?S, O d0 -
?
Site Location:
STRE T STE M
Tenant Name:
LOT /S BLOCK ? SUBD. - a? P.I.D. A
Descri tion of work: i?
The applicant is: ? Owner Contractor ? Other coeser;ne)
Name Phone
Property usT FIRST
Owner
Address
STREET STE #
City State Zip
Company . Phone 5?3
Contractor Address 1465/ 1J A?Y, License # ?a4d
City State_7&4L? Zip,l-53.?7 •
Company Phone
Architect/ /?
?
#
?
Engineer Name Ga?2-i
L GO Reaistration
Address
Cit ?5_
?/a?
StateZi
y _
µ
Sewer & water licensed plumber ?-0-? ?t'.r??•.314//r/9 . Processing time for
sewer & water permits is two days once rea has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable 5tate of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: -y?
OFFICE USE ONLY ? ; .
BUILDING PERMIT TYPE
? 01 Foundation
fig 02 Single Family
? 03 Two-family
? 04 Multi-fam. T.H.
? 05 Apt. Bldg.
? 06 Garage/Accessory
? 07 Fireplace
? 08 Deck
? 09 Basement Finish
? 10 Swim Pool
? 11 Res. Add./Porch
? 12 Comm./Ind. New
? 13 Comm./Ind. Add
0 14 Comm./Ind. Rem
? 15 Public Fac.
? 16 Agricultural
? 17 Building Move
? IS Demolition
? 20 Miscellaneous
WORK TYPE
31
11,W New ? 93 Remodel ? 96 Move
? 91 Addition ? 94 Repair ? 97 Demolish
? 92 Alterations ? 95 Tenant Finish ? 99 Undefined
GENERAL INFORMATION
Occupancy R°3 w i
_
_
_ Basement sq. ft. MWCC System YE5
Zoning W_
1 lst F1. sq. ft. City Water c
Const. (Actual
? VeN 2nd F1. sq. ft. PRV Required
(A1Towable Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth ? On-site sewage SAC Code 01
APPROVALS ?
?
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
c; ty sAc
Water Conn.
Water Meter
Road Unit
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
veluasioo: $ 27,o: 400
314 x:4? ?16
I Z x z c (rW)
BSr+?r: '7" 1 t 1?? 2 67?
39 X?2 ?
? 3Vv UP _ 1216 LpD
? 89y
I6IK 1W ? (tzq) 11'71'ftxa°Y43
316 Y. 4 ? 14 4
lOx y -z yp
Zxtx3 a #Z
Total : Is'P Fccaft 2 IDIt )( 19 SAC % /00 Afis H:m III ???
SAC Units
? ??
CONSVI IHO (Nq NE40f N6ToN f/R?'!ES
AO f3E rtnNr?Ens ana ?nao 9unwv0n5 0
NGINEERING 198
p COMPANY, INC. ?.38
t 1000 EASJ 1181h 97pEtT, BUIINSVII,LE, MINNE90tA 65337 Ptl 432-3000
Legal Description:
?
8CAL8 : 1• e 30'
Uiz,-a_) D[NUTES EXISTINQ ELEVA710N
< q13.o ) DENUTES PROpOSED ELEVA710N
..,...--- INDICATES D{RECTION OF BURFACE DFtAINAOE
913.33 = FINI3HED GARAtdE FLOOR ELEVATIQN
05. Z= BASEMENT FIOOR ELEVATION
q),3,bb = TOp OF FOUNDATION ELEVATION
gEuGNlM,e.r : 5AW. 10N 4P 4 -¢, K/N65WQOD L.qN6
AND K1N69W00A RoAD,
'ro p . 896, ¢7
? BY
Kw65 Wa°D
IANE ,
o '
0„
%
?V
h{UD+ 910,79
?`ll QbB-io,
p
CERTIFICATE OF SURVEY
?AGAiq
i
` q\
?
DEPr
30 Pt" PRanrT SUItD1N6
6E'T84ClC L/NO
VYJ (qi3?7 91 ? 3 \1? aJ, 0 \Vl
N Z2100 IZi2?
12.00
$ .p
GA?ZAGF, J(
?63 38co /¢oo q13p
. ?.._---1-?
No p $?
8 . Il-F4
00 s: ?
/ 24.6cg? o oo
3 / - ? D f `05.6, FgyJO
pu8¦ 107,78
? m 49;eo
^•?, _ C\
°?-'
4Ug?84'tfo - ? Z9o5?3 L ? / 15V `
q O
(!C0o Z//. 22
?9m,9? ? // 89 °34 ,54 ,E ?vT ?TY C4915m
I liareby certify that tlii$ is a true aaid oorreot representation of a traat
land as shoWn and dancrlbed hereon. As prepared by ma tihie 167V d8Y
°;.? %?5T -- ? 19_?,• ? , , , A ,
f? Minn. Reg. No. 14085
- •-'"?1
LOT SIIRVEY CHECRLIST FOR RES2DENTIAL
¢
'
'm ? BOILDIN PERMIT APPLICATIO
a
m L
¢
PROPERTY LEGAL:
< a W
W< N Date of Survey: ?-
U ?
< z m DOCUMENT STANDARDS
ar?[] ? • Registered Land Surveyor signature and company
0'-? ? • Building Permit Applicant
9-?? ? • Legal description
? [3' ? • Address
0? ? ? • North arrow and bar scale
0-?0 ? • House type (rambler, walkout, split w/o, split
lookout, etc.)
[3? ? ? • Directional drainage arrows with slope/gradient $.
p?? ? • Proposed/existing sewer and water services
0-?p ? • Street name
0-?? 13 • Driveway
Existina
? 6? ? - Sewer service
p?? ? • Lot corners
0-?? ? • Top of curb at the driveway
0 B"' ? • Elevations of any existing adjacent homes
Prooosed
M-?? 0 • Garage floor
pr ? ? • First floor
pr ? ? • Lowest exposed elevation (walkout/window)
?-/? ? • Property corners
Q?? • Front and rear of home at the foundation
PONDING AREAS (if applicablel
? rO ? • Easement line
? • NWL
? s' ? • xwL
? ?? • Pond # desiqnation
? p' ? • Emergency Overflow Elevation
C? ? ? • Lot lines
entry,
p? ?? • Right-of-way and street width (to back of curb)
l[]/ ?? • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
?? 0 • Show all easements of record and any City utilities within
/ those easements
Q?? • Setbacks of oposed Zments, ructure and setback of adjacent
/ existing 1
? CY ? • Retain? 1`equA if any
Reviewed
October 1992
? OWNER•:
' SI'CE ADDRE55:
CON'CRAC'.COR: ?
DE'CERMINE WORKING 59UARE FOO`CAGE OF EACA:
1. `.CU'.CA3:, EXPOSED WAL7, AREA 4M1 SQ. FT. X
2. :COTAL ROOF/CEI7.ING AREA 24 2-1.0 SQ. FT. XOO&?)
L?.J
3. TO'CA7, EXPOSED WA7:,L AREA CAT,CULA'PIf)NS:
Tota1 exposed wall
area above fioor
'd[ G(0 G 0
a) 'Cotal wall window area ?4-3,4h Sn_F•r_ x"tt" t? t= G[?l
b) 'Cotal door area ? SQ.FT. X"U"
c) 'Cotal sli.diny 11ass door areag(o Sp.F'C. X"U"
d) 'Cotal fireplace wall area _0 _ SQ.F'.C. X"'T3° ?-- _ C)
e) '.Cotal wall framing area SQ.F:C. X"U"?? %Ar3
(average 10%)
f) 'Cot'al net wall area ahove gQ,F`C. IX "U"
;loor
(insulated)
g) ':ctal ri.m joist area SQ.F:C. X"U" (Olf
`.Cotal foundaEion atea ? GDe7 SQ.F'C.
(exposed)
h) 'Cotal foundation window area SQ.FT. X"U" _D_
i.) '.Cotal net Poundation axea _IMW SQ•FT. X"U" ,17 =?i 3
above grade
TU:CAL a ) through i.
If i.tem #3 i.s the same as, or less than item #1, you have met ?
the intent of 2 MCAR 1.16008 A and 0.
412,16< SZS•? a
PAGE 1
;E
y• 'CO'PAL XPOSED ROqF C IlING CALCULATIO S: ?
' '['otal exposed roof/ 102 +U SQ. F'c.
ceiliny ai'ea .
j) :Cotal skylight area ? SQ.F'C. X"U" -? Q
k} 'Cotal roof/ceili.ng 14 114SQ.FT. X "U"?=
frami,ny area
(average 10%)
1) 'Cotal net insulated q r SQ.F'P. X"U"
roof/ceiliny area
q. TU'CA1., j) throuyh 1)
If total of #4 i.s the same as, or less than #2, you have met
the intcnt of Z MCAft 1.16008 A dnd 0. .?''1
?..?
AL'PERNA'PE BUII,,DING ENVELQPE DESIGN
'CO ut9,li,ze the total envelope system method, the vaiues
estabiished by the sum of #3 and #9 shall not be 9reatez
than the sum of items #1 and #2.
1. +2.
,
3.. +4 .
CER`CIFICA'.fI()N
I hereby cectify that I have eaicuJ.ated the "U" factors and
"R" values her.cin and that Lhe buiJ.ding here described meets
or exceeds the State pf Mi.nnesota Energy Conservation Act.
Date
PAGE 2
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6: . _•a
A
?'••. •4
A :.4 'J?4
f01fNDAT10N SECTION:
--{) Interlor a!r ftim I 11.911
---?j ?? wood & 3' Insu•1 tion 11.00
r. c . II
---(i Exter ar • r tiim
(S
(fi
TO7AL R¦ t 7. 96
U a i/R a • 08
SUlO ON GMOE
.t.
2 ° R Studa
NISTRU[TION
lIALL {iCTION (INSULATEO)
R!N J015T SECTIQN:
-( i
lnterlor
A MACUE
11,a 1/R • _?
FOUHDATION INSULAtIOH REQUIRED: '
Min. R-5 on entire kail OR 1/R
Min. R-10 donn to frost depth .
?
:,. a. -
;a?•
?.?..t
?,!/I
0
• ' HeateQ 51abs:
Mioimto R • 8.5
.
E ?
• • Ur.heated tlabs:
. ., .a• ?
?• .•
' . Mtnlmum R a 6.2
, 4? .. . .
4` "p ' •' ? 4`:
•,A?•'a. o ;.' ??•'
.?
. n?•,;?.:... ri.•t:.:•
•- :•:.? ?.•.a 0?.?
?
14
?•i? A•'.'.?r
.a?•. •.
`'?[ .• ?•???. a•4•?
b
•
? • . . , . 4.
?. •.... ••••• :
•?'?'/ ?,p?.r..??• ?Q1? .
.
?.4..14 .? .•.•
, •
q. , . . . •. ?
' ..
.
% f• : . •
. . ?.
d. .• : Q?? ..?
• • . . • ? ,. .?
3
JVlING SECTION:
U a 1/R ? _043
6EILRir, SECTInN (t?I;Ulqlth}t
1 Irtterlor air 111w 0.9
: ,?f R S?'
l , .l)ot.n Insul. - Ti .
4 E+ctertor •Ir 1 m st 11 n. 1
TOTAL R •
l.;
;? -
i
?
--Q 4 5
VENTED -
?
U • 1/R • ,_,,?y;2
. • . ;.
tEtLfRC FRAMING SE[TiQlt:
1
T
3
M
5
CEILINC iEf.T10N (INSULATEP):
1' lnterior otr flinw ?.RI
2
3
? Extlr or A I fiTm (still) .
TOTAL ?
?...
U ? 1/R
CE1LINr FRluliyr, SftT1oN:
1• Interior?etriftim e.bl
2 ? -
3 4 Exter or a r m (still)
5 othe so t wooA
LOTAI R ? r
f
?r 1/R•?_
1?y {
1 InstAe itrji1M ` A.R1
i
i -
? •
5 uts de *? film
?.
TOTAI R ?
..?..
. u • t/a - ...,._
?.?? .
TOTRL P.04
d • 1/R + .26
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT.
NO. FIXTURES C TOT?
p SHOWER 3.00
WATER CLOSET 3•00
? BATH TUB 3.00 : •? ,?
S LAVATORY 3•00
J KITCHEN SINK 3.00
_
? LAiJNDRY TRAY 3.00
HOT TUB/SPA 3•00
? WATER HEATER 3.00
FLOOR DRAIN 3•00
? GAS PIPING OUTLET • m;Aimum -1 3.00
.3 ROUGH OPENINGS 1.50 `1-K)7
T- WATER SOFTENER 5.00 • s c? c?
PRIVATE DISP. • DeiLay. iic. 15.00
U.G. SPRINKLER • home undu const. 3•00
ALTERATIONS • io aosiin8 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL: 7 7. '?
1993 PLUMBING PERNIIT (RESIDEIVTZAL)
, CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
ADDRESS• I r 'J \--1\) --:;> °
CITY: ? STATE: r'1 `(\.} ZIP CODE: S!? L
o
PHONE#:( ) -n<,("A
1993 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PII,OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUP DINGS VVfEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING U:;:T. '
_ NEW CONSTRUC170N
ADD ON
REPAIR
WORK DESCRIPTION:
COA"fRACT PRICE:
FEE: 1% OF CONTRACf FEE.
STATE SURCHARGE: 5.50 FOR EACH S1,000 OF PERMPT FEE
MINIMUM FE& $ 25.00 ""
CONTRACT PRICE X 1%
STATE SURCHARGE
TOTAL
SIT'E ADDRESS:
$
$
$
TENANT NAb1E: STE #
OWNER NAME:
INSTAI.LER:
ADDRESS:
CITY:
PHONE #:
STATE:
ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOIvF-S AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNIT.
? NEW CONSTRUCTION
ADD-ON A/C -
ADD-ON FURNACE
DATE Efa 7)
)
la000C) -?- 60clC10
HVAC: 0-100 M BTU ?_)?"`r???? s
ADDITIONAL 50 M BTU
GAS OUTLETS (MINIMUAI 1@ 53.00 EACH) 3
ADD-ON/REMODEL (ExISTINC CoNSTRUCnoN)
STATE SURCHARGE
TOTAL
SITE AD
OWNER
INSTALI
CITY: ?aC TELEPHONE #: - ? FEES
ADDRESS: 1` '? A?)1 ?C') ?
$ 24.Q0
6.00
9.00
$ 15.00
.SO
b3?5Z
TELEPHONE #:
STATE: M I(1 ZIP CODE: ??O a
lyys tvlitt;nnNltrw rnxmli txaaa„n,.,,n,.i
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
1993 MECHANICAL PERMTT (COMMERCIAL)
CI7Y OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIALJINDUSTRIAL BUII.DINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMII,Y BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
DATE:
CONTRACT PRICE:
NEW BUILDING
INT'ERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF CONTRACT FEE $_
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF ?'?,EtM1T FEE.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENT5 ONLY)
INSTALLER:
ADDRESS:
CITY
STATE: ZIP CODE:
TELEPHONE #:
SIGNATURF OF PERMITTEE ftTY INSPECI"OR
- -- -. -------------
,_?.
i
? Permit It:
? PermitFee:
I
? Date Received:
? Staff:
-----------------'
2008 MECHANICAL PERMIT APPLICATION
Date: lI -? ? (,Ir Site Address: ? ?f ? ?C ?`? C ?C?l'?? ?L.
Tenant: G/
c7?
Suite iF:
RESIDENT / OWNER Name: Z?/ ,1'?f^ Phone: ?fI 312-1-
Address/CirylZip:lyJ? /?•' C??L?E'??vl ?t. ., yhN ff 12 Z
CONTRACTOR Name: k,-r1__C' e&A%r?, License it: 7,;Z
Address' F7 ?V1,
h`N
-jV
City:
State:
Zip:
/(? ?
Phone: ??' (7 offf? Contact Person: eKX_i J')P8'AL,-j'
TYPE OF WORK _New X Replacement _Additional _Alteration Demolition
Desctlptior+ df.NsT*k? ???4 ??U ? h a C.e,
1i?4FE' Bafh frt?arrr?te`d ?rnd' `?uhd tmar?nt?`?ri nlcat ?fip,meiii Is r?qulre'ih"fo
?
.
1Ze ?ei?ened' 4p a???Gtr?i?????ease eor?faat ?fre'l?Gfiei?ar or wre of t,e
PIBt?eeFir`=lrit!ltrf+7!'vrJafiOXf Liar? ,s4iC?'ert _ ,nvBthOds
RESlDENTIAL COMMERCIAL
PERMIT TYPE ? Fumace _ New Construdion _ Interior Improvement
Air CondiNoner _ Install Piping _ Processed
Air Exchanger - Gas _ E#erior HVAC Unit
' HVAC units must be screened
_ Heat Pump Under / Above gr0und Tank (_ Install /_ Remove)
Other " When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbin Ins ector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcnarge)
$90.50 Fire f0p8ir (replace burned out appliances, duciwork, etc.) (includes $.50 S[ate Surcharge)
70TAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x 1%
$50.50 Minimum (includes State Surcharge)
Permit Fee
- If Permit Fee is less than $7,000, surcharge is $.50.
- If Permi Fee is >$7,000, surcharge increases 6y $.50 for each =$ State SUrCharge
$1,000 Permit Fee (i.e, a$1,001-$2,000 Permit Fee requires a$1.00 surcharge).
$ TOTALFEE
I hereby acknowledge that this informa6on is complete antl accura[e; thaf [he work will be in conformance wi[h Ihe ordinances antl cotles ot Ine pty oi tagan, tnat
I understantl this is not a permit, bu[ only an application for a permit, antl »rork is not to s[art wthou[ a pertnil, t}1at the work mnll 6e in accordance vm[h the approvetl
plan in the case of vrork wfiich requires a review antl approval oi plans.
?
X
Applicant's Print Name
X /-C".`/ r64,4
Applicant's Signature
? ;.n r
'
"RepuireiilnSpCGt?phB= UndBri?raW?d?' !._,RO.t?{htn''?.Ai(?Tes? ?'?a?-$er,+?GeTiesx?`?
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116463
Date Issued:10/08/2013
Permit Category:ePermit
Site Address: 1456 Kings Wood Lane
Lot:15 Block: 1 Addition: Kings Wood 2nd
PID:10-42001-01-150
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Matt Pudas
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 -
Bryan M Larson
1456 Kings Wood Lane
Eagan MN 55122
Pudas Landscape And Construction Llc
19150 Pheasant Cir
Eden Prairie MN 55346
(612) 423-2227
Applicant/Permitee: Signature Issued By: Signature
Feb. 9, 2016 7:01AM PRACTICAL SYSTEMS
City of liatall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (851) 675.5694
Nuse523 P.dLUE or I LACK Ink
L
For Office Use
Permit f/: / 5 5 C 7
Permit Fee: U7C. b
Date Received:
Staff:
2016 MECHANICAL PERMIT APPLICATION
0 Please submit two (2) sets of plans with all commercial applications.
Data: 2/8/2016 Site Address:1456 KINGWOOD LANE
Tenant: Suite #:
,
Name: H I RAM SHAH Phone: 952-221-5757
Address / City/ Zip: 1456 KINGSWOOD LANE EAGAN MN
Name: PRACTICAL SYSTEMS
Address: 4342b SHADY OAK RD
State: MN Zip; 55343
License Si: MB003510
city: HOPKINS
Phone: 952-933-1868
Contact: LORNA GUSTASFSON Email: LGUSTAFSON@PRACTICALSYS.NET
New ✓ Re I Iacement Addlllonal Alteration
Description of work:
Demolition c:::;Ais
tu r j
*��t41 I:t�Y•IiJIIC l�liif Y Y.I�C�.+�It'Illi[�llll•.III�tC:T�IJiIl=��iYl11[h`=11(
Lt 1�# Li ( U1.1 LLku(-v['tt lir;lni llll�&:l;t=c li•Irft J li,it•Jilit iit)j • 1�J��Ll�iili��> �Et1t-LLJl�N'JtS.I IIt �i
RESIDENTIAL
Furnace
Air Condluloner
AIr Exchanger
_ Heat Pump
✓ Other °`alsisY°c°'"orpov>'+`x°co
COMMERCIAL
_ New Construction Interior Improvement
Install Piping _ Processed
_ Gas Exterior HVAC Unit
_ Under/Above ground Tank t, Install I _ Remove)
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, Incudes State Surcharge
$100.00 Residential New, Includes Slate Surcharge
_ 50.00
TOTAL FEE
COMMERCIAL FEES
$60.00 Permit Fee Minimum
$70.00 Underground tank installation/removal
Surcharge = Contract Value x $0.0005
If the protect valuation Is over $1 million, please call for Surcharge
Contract Value $ x .01
$ Permit Fee
= $ Surcharge
TOTAL FEE
$
1 hereby acknowledge that this Information Is complete and accurate; that the work will be I
Eagan; that I understand this is not a permit, but only an application for a permit, and work Is n
with the approved plan in the case of work which requires a review and approval of plans.
xLORNA GUSTAFSON
Applicant's Printed Name
ltlll[ot-lt�)�o
i nformance with the ordlnances and codes of the City of
j/�o stars whhout a permit; that the work will be in accordance
l `i /
at /Ai' Olt' orikklwai-
n s Signature
t
//26
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA165925
Date Issued:12/01/2020
Permit Category:ePermit
Site Address: 1456 Kings Wood Lane
Lot:15 Block: 1 Addition: Kings Wood 2nd
PID:10-42001-01-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Vinodrai Shah
1456 Kings Wood Ln
Eagan MN 55122
(952) 221-5757
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA179599
Date Issued:10/12/2022
Permit Category:ePermit
Site Address: 1456 Kings Wood Lane
Lot:15 Block: 1 Addition: Kings Wood 2nd
PID:10-42001-01-150
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Vinodrai Shah
1456 Kings Wood Ln
Eagan MN 55122
Champion Plumbing Llc
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature