1463 Kings Wood LanePERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA111859
Date Issued:07/16/2013
Permit Category:ePermit
Site Address: 1463 Kings Wood Lane
Lot:17 Block: 1 Addition: Kings Wood 2nd
PID:10-42001-01-170
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.
Kris Oien
3670 Dodd Rd
Eagan, MN 55123
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 -
Neil L Kucker
1463 Kings Wood Lane
Eagan MN 55122
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
°*• ?? I
(krtificate vf Cccupanc?
Witv of Wagan
ze0artnItt"t ? Vldr?? ?OCCdox
This Certifrcare essued pursuant to !he requirements of the Uniforrn Building Code
certifying that at the tune of issuance this srructure was in compliance wilh the vareous
ordinances of the City regulating building construction or use. For the following:
Use Qassifiatioa: A.SF 1L= Bldg. Permi[ No. 21018
0-Ma-YTYP? R-3,rl1 7.oningDistrict RI TypeConst. VN
owoer of euikhng PETERSCN OON5T Ild: Aeees 10214 PARKM r'' , $fMM
e,;mft Aaamu L17. B 1, KRU"S WAM 2tID
?
Building Olf'xial
POST IN A CONSPICUOUS PIACE
1
"CIl'V OF EAGAN
3830 Pilot Knoh, Road
Eagan, Minnesota 55123
(612) 681-4675
?
SITE ADDRESS:
$0 t f?Ni
PERMIT SUBTYPE:
1 ti;:
if''
?;VE N0 t•E 1 C: 9'41N C. O1V<. i
iJ, 1, t; t•. 4 ', 1 q;!
TYPE OF.INORK:
i i; r% N ? ra ;
[ON
x. i
tECORD
PERMIT TYPE:
Permit Number:
Date Issued:
rill i i it i wo
N.'INltt
Nc. !''i. i I1
Permit No. Permit Holder Date Telephone #
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Faotings I s- 7)
4C•
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg. '
Isul.
Fireplace
?
Final Htg,
?V
O?satTest
Finsl Plbg. Plbg. Inspector- Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
_i ?vL,
Decit Ftg.
Deck Final
Well
Pc Disp.
C?',?/ ? •? ?d f/,wrlr
?
CITY OF EAGAN
k 3830 Pilot Knob Road
, Eagan, Minnesota 55122-1897
? (612) 681-4675
i ,
i SITE ADDRESS•
SPE
I • 1011 .1 ? 141 ncK?
r NFI5 L100n LAN(
i PERMIT SUBTYPE:
KOiirM r N
ON
;CORD
PERMIT TYPE:
Permit Number:
Date Issued:
, APPLICANT:
TYPE OF WORK:
rI N A 4
_ : ?
-------------------------
Permit No. Parmk Hqlder Date Telephone #
ELECTRIG
PLUMBING
HVAC
Inspection Date Inap. Commenta
FOOTINGS
FOUND
FRAMING
ROOFiNG
ROUGH
PLUM8ING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST i
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLOG FINAL
BSMT R.I.
BSMT FINAI
DECK FTG
DECK FINAL
-
i
r I -
Address
1463 KINGS WOOD TAtaF
Zip 5512?
Lot 't7' Blk 1 Sub xucs wcnn ZrID
THESE TI'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THB FINAL INSPECTION.
Date: S?q Yes No Inspector.
Final grade (6" from siding)
Permanent steps (gazage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck Q?
Please verify with the builder the removal of roof test caps from the plumbing syslem and the shut-off of water supply to
the ouuide lawn faucet before freeze potential exists.
Conqct engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy 0
(y/.?0/9.x- REQUEST FOR ELECTRICAL INSPECTION ee-oooot-0e
? See mstmcuons lor compiating this lorm on back ol yellow copy. Q B? i?
? i O 0 "X° Below Work Covered by This Request
III TypeofBwlding AppliencesWired EqmpmeniWired
Home Range Temporary Serv'ice
Duplez Water Heater Electric Heating
Apt Building Dryer Other-(Specdy)
CommJindusmal Fumace
farm Air Conditioner
Ol?er ?ryecny? Contracmr§ Remarks 17
Co mpute Inspection Fee Below:
N Other Fee # Sar eEntrance5iza Fee # Circuits/Feedars Fee
Swimming Pool 0 t 0 mps 0 to 100 Amps i
Transtormers Above 200 _ Amps Above Amps
Signs Inspxtor9 Use Only TOTAL
Irrigation eooms ^G
Special Inspec6on
AlarmiCommunication THIS INSTALLATION MAV BE ORDE CONNECTED IF N T
Other Fee COMPLETED WITHIN 18 M, HS. r
I, the Electrical Inspector, hereby
c
rt
f
th
t th
b
i Rouqnm ?e
e
i
y
a
e a
ove mspect
on has
been made. Finai
OFFICE USE ONLV
Thts request v0itl 18 months Irom
9R1-T41
Re e5t Date
r? Fre N. R ??in InspecUan
Reqwretl9
? Ready Now Ai Notily Inspecla
h
R
tl
?
Yes u No en
ea
y
I D hcensed contractor ? owner hereby request inspectwn of above electncal work at:
Job Adarass Isrreet Box or Raute No )
? Q?
Sernon No ownship Na r No Fanga No Co .&
OttupaN fP NTI ? Phone No
Power Sup
b ' Atltlress
Elecrticsl ConVaclor (Company Namel ? 1 ntrector's Licens}e?;No
2
.P //
Manmg Atltlress fCOnhaclor or pwnar Making msta118LOn)
V J ? /N?' 3 J ? ?/
Avthonzeo S?gnawre ICOnlra 0 ner y?king s Ilation) Ph? umber O-Az
MINNESOTA STATE BOARD OF ELECTRICITY
Grlgga-MlEway BICg. - Room S-173
1831 Unrveisily Ave., 51. Peul. MN 55104
FM1One (612) 6C2-0800
THIS INSPECTION REOUEST WILL NOT
BE ACCEPTED BV TME $TATE BOARD
UNLE55 PROPER INSPECTION FEE IS
ENClOSEO.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITEADDRESS: LoT:
1463 KINGS WOOD
KINGS WOOD 2ND
PERMIT SUBTYPE:
SF DWG
TYPE OF WORK:
NEW
BUILDING
021019
05/26/93
INSPECTION
FOOTING .. .
FRAMING ..
INSULATION FINAL
FIREPLACE
REMARKS: S&W CONTRACTOR - GEN2-RYAN
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
17 BLOCK: 1 APPLICANT:
LANE SVEND PETERSON CON5T
(612) 884-5144
-1
CpTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-42001-170-01
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
KINGS WOOD LANE'
17 BLOCK: 1
W000 2ND
1463
LOT:
KINGS
77,?j
BUILDING f
021018
05/26/93
DESCRIPTION:
Building Permit Type SF DWG
Building Work Type NEW
r'f18C Occupancy-\, R-3 M-1
f Gonstruction Tqpe VN
2oning R-1
? Building Length ) 71
Building Width 49
\
,
,
UJ (a(?fl n
REMARKS:
S&W CONTRACTOR - GENZ-RYAN
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC %
5AC Units
Subtatal
VALUATION
$178,000
$912.50
$593.13
$89.00
$750.00
100
1
$2,344.63
MISC FEES $1.744.50
Total Fee $4,069.13
CONTRACTOR: -
SVEND PETERSON CONST
10219 PARK VIEW
MINNEAPOLI3 MN
(612) 684-5144
appiicant - sr. Lzc. OWNER:
18845144 0001769 PETERSEN CONST ZNC SVEND
CIR 10214 PARK VIEW CIR
55431 BLOOMING70N MN 55431
(612)884-5144
?
I hereby acknowledge that I have read this
information is cor ect and agreQ to camply
Statutes and C of Eagan Ordinances.
? APPLICANT/PERMITEE SIGNATURE
applieation and state Chat the
with all applicable State af Mn.
IT ?n--??
ISSUED Y: IGNAsRE
REACTIVATE _
PfRMIT.?
L
Y_ MAY 2 0 1993
CITY OF EAGAN
1993 BUILDING PERMIT
ss,-as7s
APPLICATION
SINGLE 8 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 ?/?/ gA Yaluation of work !? Q?D
--
Site Address: ?
STREET SUITE /
Tenant Name: (commercial only)
IAT ? BIACK ? SUBD. 14/y?s P.I.D. N
N 0
Descri tion of work:
The applicant is: ? Owner Contractor 0 Other (Descrfbe)
Name IJ'` iA""- Phone
Property LAST FIRST
Owner
Address
STREET S7E I
City State ZiP
Phone j Al -5?44
Contractor Address??-?/? ???K v???? t2t4c License # 176 Exp.M44 9
City ?o,? /a/???? _ State /`Z^` Zi P??
Company Phone
Architect/
Name Registration N
Engineer
Address
City 5tate ZiP
Sewer & water licensed plumber e??ivx_ Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this a 1' ian and state that the information is
lica tate of nesota Statutes and City af
ll
ith
l
app
a
y w
correct and agree to comp
Eagan Ordinances.
Signature of Applicant:
G
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex O 11 Apt./Lodging
,W02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex O 14 Fireplace
O 05 5F Misc. ? 10 Multi. Add'1. 13 15 Deck
WORK TYPE
0 31 New ? 33 Alterations O 35 Tenant Finish
? 32 Addition O 34 Repair ? 36 Move
GENERAL INFORMATION
? _.
? 16 Basement Finish
? 17 Swim Pool
O 18 Comn./Ind.
O 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
Const. (Actual) y-N Basement sq. ft. MWCC System YSS
(Allowable) V-N lst Fl. sq. ft. City Water y,?,^3
UBC Occupancy R?; M_I 2nd F1. sq. ft. PRY Required
Zoning R_1 Sq. Ft. total Booster Pump
#' of Stories footprint Sq. ft. Fire Sprinkler
length 7.1,, On-site well Census Lode /O/
Depth Uh?_+--
-? On-site sewage S5 6/?
co, ?
APPROVALS ?s { ?_--
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
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
? Footing ? Framing O Insulation
? Final ? Draintile ? Fireplace
_ valuatim: $ I78, OC? G7 '? ZNp ?"LOIU?.:
- GARAb?; 3ox 36=?Dfr"
- 3/YU6 = r9s__
BSri1T,
1 S7 LLI,n
)K3- ..,??
I'i2x 3 = tirz I22vKSy,;?
-7c,?y X 16 ??ajoy 658K?
l?lxloc 14u
3(o )e 3?=/okL7
l N (v = CG)
13X3Gx.r= 23«
hX?Y,?_? (51)
3xl6q'g,-
/L1,4S X
-r-
I ?nI r-7 0
_z_',
8? Zy
Certificate for•
`.`
. .
Svend petersen
' 4701 West 110th Street
Bloomington, Mipnesota 55937
.?
DELMAR H. SCHWANZ
LAND BURVEYOH9. INC.
RKhIMM VnOn to" ei iM 91m Of MinnNOb
11750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA 65080 E12/423-1789
VIo, g SURVEYOF'S CERTIFICATE
N
Scale: 1 inch = 30 feet
p Denotes iron monument
17 n' q0
?bt' \ O Denotes set t+ood hub
? / \ ?- To r Nv6
q 03 y penotes existing elevation
x ? Denotes proposed elevation
` o
?` 9o5b? v
v \ - . ropll?8
v qp? ly ? 909.0
\ n qn?•,
0
neS ?
y? oo c?Re
- w, ? o. '? ? ` " 9e9s
v io r?RuPog? / O?^1 ?
V M No?SE m '?,o
? a a I ?\• \? ? 1?'-'{? :
? ?? ?? ?? ?
? ? 9or.8 Q? n
BY
? f ? /??^ ?.o. ? ??' -'---•„..,
. ?- 30 •1 9iv, l'? DEp1'
?
5? ? f 37 7o p I??O
l (l ?z5•S?E 903./
.,. ^/?B-38'oo 9/Q, Z proposed garage £loor elevation
Sgg,o Proposed top of block elevation
%d2 3 Proposed lowest floor elevation
Description: Lot 17, Block 1, %INGSWOOD 2ND ADDITION, according to the recorded
plat thereof, DAkota County, llinnesota.
Also shov+ing
I hereby ceAify tnel tnla survey, plan, or report wes
prepered by me or under my dlreet suOervNlon end
thet I em e duly Reglatered Lsnd Survayw under
ihe Iewf OI tha Stala OI Mlnnelole.
Deted
May 19, 1993
pzoposed house as staked thereon.
DELMAR H.
SCNWAN7_
- 8625-- •'? r Dsimar H. ScM1wenx
Minnssoh RsqlMhallon No. 6E26
-- ? Bk: 166/23
?
. ? LOT SURVEY CHECRLIST FOR RESIDENTIAL
_ y
¢ . .
•
m N BDILDING PERMIT APPLICATI i
m J ? PROPERTY LEQAL:
? a m _
U Date of survey:
o j
< Z f DOCUMENT BTANDARDS
? ? • Registered Land Surveyor signature and company
L??C] ? • Building Permit Applicant
B? ? ? • Legal description
? Cd? ? • Address
?p ? • North arrow and bar scale
pi ? ? • House type (rambler, walkout, split w/o, split
lookout, etc.)
p? p ? • Directional drainage arrows with slope/gradient ?.
p C3? ? • Proposed/existing sewer and water services
?? ? • Street name
p/? ? • Driveway
ELEVATIONS
Existinv
0 C? ? • Sewer service
L7? ? ? Lot corners
L?? ? p • Top of curb at the driveway
U?? • Elevations of any existing adjacent homes
Proposed
p? ? ? • Garage floor
E? ? ? • First floor
v ? p : Lowest exposed elevation (walkout/window)
? . Property corners
? Front and rear of home at the foundation
PONDING AREAS lif aDVlicable)
? r ? • Easement line
? p' ? • NWL
? C?Y ? • HWL
? C.Y ? • Pond # designation
p C}-?? • Emergency Overflow Elevation
DIMENSION3
iJ ? ?
.? o 0
Q' ? ?
?? ?
? C?/0
entry,
• Lot lines
• Right-of-way and street width (to back of curb)
• Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
• Show all easements of record and any City utilities within
those easements
• Setbacks of proposed structure and setback of adjacent
Revie
October 1992
Contraetor S_ Petersen Cvnst_Inc_ 884-5144
Site hddre Lot 17 Block 1 Kings Vood 2nd
1 Totai exspased vall area 2799 0•11 347.39
2 Tatal ruaftCeilSng area 1402 4.026 36.452
Total 344.342
Total vali area abore floor
?
A Total rindov area 214 0.32 67 %
B To#al Daor area 56 '? 128 7 1E$
C To#al siiding Glass area 40 0.32 12-S
U Total fireplace area is 0. 1=8 2304
E Tatal framing area (ar.10%)
274
0.119
33.201
F To#_ net rall area abore floor 1963 0.045 $8.335
G Total rim jois# area 233 0!047 10.951
Totalexposed foundation area .33
H Tatal foundat9on Yindor area 9 0. 32 2•$8
3?c
i Tvt. net foundation abore grade 224 0.14
Total 56_
Total exDOSed roafleeilioq area 1402
J Total skylight area ? 0.32 0
K Tot_ roorlceil9nq framing (10%) 140 0A49 6-86
l Tntal net insula#ed rooflceilinq area 1262 0.0193 2
Total 1-2166
w:4:';:%8iv?;?:%6:d;?Y W 4::;:l;tY,s *
c:r7-v nF Enr;;c,N
G(iiitl'l:l:f:'+;; ._!t. T'{i-Ri'CLldili.. \!Jt G`i.`.i
CiXYF1 04/j:a2J90 ".IM!i.: 15:56:22
c
Tiiu
fdG3P11- N f§l.I..Tl:rri FTF{I::`:'i7Y?:`'. TP?C
(d81E) 3001 I.'it,i !;;.tJG;; I.i(7OxJ Ctn?:IQ
^c".`.'5 9013i i.-S.(,;:) i'.:CiJGfi ili'.'titTt C;o50
Yatal Rt,,.oirrT, rimt]U7}'!;,", 50:.5-D
Cfif.i`3C)c?`ti::;
Ut:iFR fpt .ii,;N
CITY OF EAGAN
' 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
auxLoiwG
031838
04/22/98
SITE ADDRESS:
1463 KINGS WOOD LANE
LOT: 17 BLdCK: 1
KING W000 2ND
P.I.N.: 10-42001-170-01
DESCRIPTION:
?
Building_Permit Type
r'Building Glork 7ype
?Census Code'
??b0
!
?.?,.
FIREPLACE
NEW
434 ALT. RESIDENTIAL
Ljj
' J`?°??" ...,.-.'r? i.:_}
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
.+
CONTRACTOR: - Applicant - ST. LIC.OWNER:
FIRESIDE CORNER•INC 16382561 2009091 KUCKER NEIL
2700 N FAIRVIEW AVE 1463 KINGS WOOD LN
ROSEVILLE MN 55113-0847 EAGAN MN 55122
(612) 633-2561 (612)688-2095
( I hereby acknow3edge thaf 1, 4aae,-re,ad' this--`applicaaticYn zand 'sCat6 'tY'rat Ehe'
information is carreGt and,agree.to comply aitMr ad.l e-pplicab$e =State =of? h€n',
?
Statutes and City af 'Eagan -prdt:nanc`es.
,
APPLICANT/PERMITEE SIGNATURE
PERMIT
T Vll i
ISS Sr GNAT RE
-1
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1997 FIREPLACE PERhIIT APPLICATION
?
61( 681-4675
DATE: l S? PERMIT FEE: $50.50
DESCRIPTION OF WORK: ? CONSTRUCT M$ FIREPLACE _ ALTERATIONS TO EXISTING
INSTALL GAS INSERT ONLY
_ INSTALL GAS LINE ONLY
OTfER:
STREET ADDRESS: ? q co 13 k, )
LOT BLOCK J_ SUBD./P.I.D. #: ??'?11a, u(?
--?
APPLICANT: (circle one only) OWNER CONTRACTOR
Street Address: ?- `
City: State: MO), Zip:
Company: ?: NP,5 rYX lVIAQ 9i OYL S/)BPhone #: al?Q _0
I hereby acknowledge that I have read this application and state that the information is coaect and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
v r?
PROPERTY Name: K\ 1(" Phone #:
OWNER u+* ?
Signature:
FIREPLACE
INSTALLER
GAS LINE
INSTALLER
r
k
Signature:
Street Address: UI` jLicense #: ?no' 90911
City:_.C??_ _ .LS tl [. ip , State: ?Zip: , ?s3 3 ,
Compaz
Name:
Signatu
Street A
City:
State: Zip:
OFFICE USE ONLY
BUII,DING PERMIT TYPE
0 14 Fireplace
WORK TYPE
? 31 New a 33 Alterations
? 32 Addition o 34 Repa'u
GENERAL INFORMATION
Census Code. 434
SAC Code 01
REMARKS
Chimney/flue must be inspected before concealing.
0
PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UN1T.
NO. FIXT'URES EACH TOTAL
SuowFZt 12.
00
3
? WATER CLOSET 3.00 ?
-
BATH TUB 3.00 ?
? LAVATORY 3.00 ?
1 KITCHEN SINK 3.00 9
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
-? WATER HEATER 3.00
T
FLOOR DRAIN
3.00 ??
? GAS PIPING OITTLET •?m - ? 3.00
? ROUGH OPENINGS 1.50
• WATER SOFTENER 5.00
PRIVATE DISP. • nex.ay. cQ 15.00
U.G. SPRINKLER • nome unaW ?mt. 3.00
ALTERATIONS • to ?tin8 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE
SITE
TOTAL:
.50
OWNER NAME: S AP ll.I'SP/'! (!)175"7 i" UGfiDn
INSTALLER: GENZ-RYAN PLUMBING & HEATING C0.
ADDRESS: 14745 South Robert Trail
Cj'j'1'; Rosemoimt
STATE: MN
PHONE #: (612 ) 423-1144
0
ZIP CODE: 55068
_i
MECHAMCAL PIItMIT (RESID
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLITTGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIl2ED FOR EACH LJrTTI',
X NEW CONSTRUCTION
_ ADD-ON A/C
_ ADD-ON FURNACE
DATE ? ? LS
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
? OUTI.ETS (MINIMUM 1 @ 53.00 EACH)
ADD-ON/REMODEL (EXIsTuvc corrsrRucnorr)
STATE SURCHARGE
TOTAL
SITE
OWNER
S, 1?"
pi
FEES
$ 24.00
6.00
?
$ 15.00
.50
ge? "050
TELEPxorrE #: 8rw_
WSTALLER: GE?'i -BYAN PLUhiBING & HEATING C0.
ADD::ESS: 14745 South Robert Trail
CITy; Rosemount STATE: M ZIP CODE: 55068
TEI.EPHONE #: (612) 423-1144
0
x4 ? YF?k :S: ?? i;t ?;%?k X: ?X X? h't 7 c X? Y„ :$ XC $t %: sY ;$ Y? ik 5X fk ? ?% ??; k( "? k' SK ?k `;<96
!:LT'Y QF E:(-1GAN
C;ASH:tE:k:e S TE:htlrnPl... N0,. 6"r'4
OAif-". 0405199 TTii!:.:a J.4a3058
M.
NAMf-_, F'FlNF.3...CR!-11'=T O(-" MN TNC
321p 900.':. 1463 I:PIGS I•IU L.N. 139.25
205 9001 1.463 KNC;S WT.i Liv :3.50
Ta+..a'f. Receipt Amoi..nt,: 142.75
CktO64Y.i0
IISI-R :I:D: i.ArlC`(
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1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
?. ? Q? 3830 PII,OT KNOB 1ZD - 55122
(651) 681-4675
New Construction Reaui2ments RemodeVReoair Reauirements
? 3 registered sde surveys
? 2 copies of plans (indude beam & window sizes; poured fnd. design; etc.)
? 7 energy calculations
? 3 eopies of tree preservation plan A lot platted after 711193
repuired: _ Yes _ No
DATE: _3- A LI-C)9
? 2 copies ot plan
• 1 sRe surveys (exterior addkions & decks)
? 1 energy calwlations Tor heated addRions
CONSTRUCTION COST: '?3O 4 O('n
DESCRIPTION OF WORK: _) NCW t"
STREETADDRESS: I o i YI
LOT: BLOCK: I O I-CVI ( rl
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Name: ?L'(Ckcr Phone#: ft)" 1 j488
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PROPERTY Last First
OWNER Street Address: I`1LL 1 " )1
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Company: ( C
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Phone
Name: Registration #:
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction only): _
change and lot change is requested once permit is issued.
Penaity applies when.address
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of
OFFICE USE ONLY
Certificates of Survey Received _ Yes
Tree Preservation Plan Received _ Yes
= % -
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_ No
_ No _ Not Required = -- - - '•-??
OFFICE USE ONLY ` •° .
BUILDING PERMIT TYPE
? 01 i
Foundation
?
06
Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
5r 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
O 31 New
? 32 Addition
T)ee-r- w
? 11
? 12
? 13
? 14
A 15
Apt./Lodging ?
Multi Repair/Rem. ?
Garage/Accessory ?
Fireplace ?
Deck
16 Basement Finish
17 Swim Pooi
20 Public Facility
21 Miscellaneous
Sc? Po RLA+
X 33 Alterations ? 36 Move
? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) S, 7.1 Basement sq. ft.
(Allowable) S, +J Main level sq. ft.
UBC Occupancy 2--?, sq. ft.
Zoning fL-I sq.ft.
# of Stories -- sq. ft.
Length - sq.ft.
Width - Footprint sq. ft.
APPROVALS
Ptanning
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total
Census Code
SAC Code
Census Units
Census Bldg
MC/ES Sysfem
City Water
Booster Pump
PRV
Fire 5prinklered
Building Engineering ^ Variance
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Valuation: $
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SAC Units
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ADOITION'
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GONSTRUCTED BY PANELCRAFT OF MINNE90TA, ING.
NW E
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_51TE PLAN
9GALE: 1" = 30'
99-m306
NEIL a RAGNEL KUGKER
1463 KINCsS WOOD LANE
EAGAN, MN 55112
651-688-2895
651-293-2164
N/A
SCREEN ROOM U1/ DECK
DAN KINNINCs
JOHN GRIEP
BRANDON RUITER
FEBRIJARY 25, 1999
MARGN 4, 1999
MARGH ll, 1999
#0306-KUGKER-AI-
: JOB NUMBER
: GUSTOMER NAME
: STREET
: GITY
: NOME PNONE
: UlOR1G PNONE (HIS)
: UIORJC PHONE (HERS)
: CONSTRUCTION TYPE
: SALESMAN
: PROJEGT MANACsER
: DESIGNED BY
: DATE
: 15T REVI51oN
: 2ND REVISION
6JR
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA132273
Date Issued:08/04/2015
Permit Category:ePermit
Site Address: 1463 Kings Wood Lane
Lot:17 Block: 1 Addition: Kings Wood 2nd
PID:10-42001-01-170
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
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 -
Adam M Stowers
1463 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:Building
Permit Number:EA139178
Date Issued:10/12/2016
Permit Category:ePermit
Site Address: 1463 Kings Wood Lane
Lot:17 Block: 1 Addition: Kings Wood 2nd
PID:10-42001-01-170
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Adam M Stowers
1463 Kings Wood Lane
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA155092
Date Issued:04/26/2019
Permit Category:ePermit
Site Address: 1463 Kings Wood Lane
Lot:17 Block: 1 Addition: Kings Wood 2nd
PID:10-42001-01-170
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Adam M Stowers
1463 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:Mechanical
Permit Number:EA155920
Date Issued:06/07/2019
Permit Category:ePermit
Site Address: 1463 Kings Wood Lane
Lot:17 Block: 1 Addition: Kings Wood 2nd
PID:10-42001-01-170
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Adam M Stowers
1463 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:Mechanical
Permit Number:EA176534
Date Issued:05/19/2022
Permit Category:ePermit
Site Address: 1463 Kings Wood Lane
Lot:17 Block: 1 Addition: Kings Wood 2nd
PID:10-42001-01-170
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
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 -
Adam M & Michele M Stowers
1463 Kings Wood Ln
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature