1414 Kings Wood Rd
r'
Werfiftcate uf Cccupancv
Witv of W-agan
r ?e?rtatrnt uF'8xili?xg ???}rectiax
?
T?tis Certificate issued pursuant to !he requirements of the Uniform Building Cade
ee, rtfying that at tiee time of issuance this structure was in compliance with the various
oAdinances of the City regulating building construrtian or use. For !he following:
Use Classifiron:SF DW Bidg. Pcrmit Na. 23564
" . 6a„?cy rya R3/M) Zon;ng pnaict R1 Type Canst VN
owwr ar s?lding = INV CM weam1444 KMS tiOM IN, F?1('?AN
suiwingnmms 1414 RM WOm FL1AD I.oc,,xy L3,. Bl, KINCS WUCD 2AID
,!'? ?r '? "/•' ,
euddins otricial -
P05T iN A CONSPICUOUS PLACE
/?
'CIl"Y'OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesata 55123
(612) 681-4675
PECTION RECURD
PERMIT TYPE:
Permit Number:
Date Issued:
SITE ADDRESS:
PERMIT SUBTYPE:
, It,
cit f: 13r 1 t4 v r: 0st t;
? , ? , , :?, • ?.sI„ f
TYPE OF WORK:
INSPECTION .• .
. .•
?lt}? .i I :, • ? , ?. iiil:.i? i'! .I 4 ?? ?
% t';?t I I II!• I 1 i1;?.1
?W PLf3li kAYMf?fAP FIAf Ei !?1 Hr;
t'
r?
Permit No. PermR Holder Date Telephone #
SNV
PLUMBt1VG G 9 ?
H VA(C ? .. ?
ELECT
(l?div
ELECTRIC
Inspection Date insp. Comments
Footings i
Foundation
Framing
Roofing
Rough Plbg. 7..G .
/
Rough Htg.
/ Afk
lsul.
Freplace
Final Htg.
7
Orsat Test
Final Plbg. 7.G"_ lf Pibg. Inspector - Notity Plumber
Const. Meter
Engr./Plan
Bldg. Final ? 0 ?
Deck Ftg. G
Deck Final
Wel!
Pr. Disp.
7
Address 14 14 xrnres wooD Rono Zip 5512 2
Lot 3 Blk 1 Sub KllvGS iAM 2rID
THESE ITEMS,WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway x
Permanent gas
Sod/Seeded grass
TraiUwrb damage
Porch X
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to
the outside lawn faucet before freeze potential exists.
Contac[ engineering division at 681-4645 before working in righ[of-way or installing undergtound sprinklet system. ?
Whi[e - City Copy Yellow - Resident Copy Pink - Con[racror Copy
REQUEST FOR ELECTRICAL INSPECTION
?q'? 7 ry ? See msVUCtians for compleung this imm on back oi yeilow copy
CU 45551 "X" Below Work Covered by This Request
?,a=•"-??? Ee-o i - e
?a•,?,. , ?.
ew Add Rep TypeoiBwltlmg AppliancesWired EqwpmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer loaE Management
Comm /lndustrial Fumace Other (Specify)
Farm Air CondM1ioner
011her (su.dy) Contrector's Remarks
Compufe Inspechon Fee Below
+Y Other Fee # ServiceEniranceSize Fee # Qrcuits/Feetlers Fee
Swimming Pool 0 to 200 Amps 3,? 0 to 100 Amps kiroo
? Transformers Above 200 _ Amps Above io0 _ Amps
SignS S. inspectar's Use Oniy TOTAL
Irtigaaon Booms ?} d J?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERE ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
1, the Electncal Inspe r, hereby
certiry that the above inspechon has been made Aooen-,n
o
OFFICE USE ONLV
This request void 18 monihs imm ?
.. ,,.,
,>., , ?
C?4 5 ?1 ? a"J ?? r'o-?
ReQUest Oete . Fn@ o Roughdn InpseIX n ReQwretl lnspacM1On OMer Tlran Rough-In
(YOU m call inspeclor when reetly) ? qeatly Now ? Will NoGly InsOedor
Yes ? No Date ReaEy
I i'licensed contractor D owner hereby request inspection of a6ove electncal work at:
JoC Atltlress ISVeet Box or Route No I Gity
Secimn No Township Nam or ' o. Range No Cowry
1
Occupam (PRIN1) Phone No
PowerSuppher Atltlress
Electncal Convactor (Gompany Nama) Comractor§ 4cense No
< p_ 1_CC.?'
Maihnq Atltlress ICOmreclor or Owner Makmg MstelieLOn)
Aumonzetl Signawre tovOwner Maning Inst ati
Pho
ne
N r
_ ?Si%? /?
1C '
/
C
MINNESOTA SIAT!'BOAHD OF ELECTRIdTY THIS INSPEGTION PEQUEST WILL NOT
Grigga-MiEway BIOg. - Poom S-173 BE ACCEPTED BY THE STATE BOARD
1821 Umversity Ave., SI. Paul. MN 55106 UNLESS PFOPEF INSPECTION FEE IS
Plrona(612) 642-0800 ENCLOSED
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612)681-4675
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Datelssued:
BUILDING
023564
05/16/94
SITE ADDRESS:
LOT: 3 BLOCK:
1414 KINCaS WOOD RD
KING6S WOOD ZND
PERMIT SUBTYPE:
SF DWG
1
APPLICANT:
CREST INV CORP
(612) 452-0001
TYPE OF WORK:
NEW
INSPECTION .A . iA
FOOTIN6S FpUNDATION
FRAMING RDOFIN6 ,
INSULATION FIREPLAGE
ROUGH IN PLBG ROUGH IN HTG
FINAL PIBG FINAL
REMAitK5: S& W pLBR - RAYMOND HAEG PLBG
?
?
-I
I
. PERMIT
-? CITY'OF EAGAN
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55123 Permit Number:
(612) 681-4675 Date Issued:
BUILDING
023564
05f16/94
SITE ADDRESS:
P.I.N.: 10-42001-030-01
1414 KINGS WOOD RD
LOT: 3 BLOCK: 1
KINGE5 WOOD 2ND
SJ
DESCRIPTION:
B;uilding Permit Type SF OWG
Building Work Type NEW
UBC Occupancyr?\, R-3 M-1
? Construction Type V-N
2oning R-1
Building Length 76
Build3ng Width ` 36
? Bwilding stories j ' 2
.
;,,FiEMARKS:
S& W PLBR - RAYMOND HAEG PLB6
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
5AC %
SAC Units
Lic. Search Fee
Subtotal
$877.50
$570.38
$84.00
$800.0@
108
1
$5.00
$2,336.88
$168,000
MISCELlANEOUS $1.828.50
Total Fee $4,165.38
CONTRACTOR: - Applicant - ST. I.IC. OWNER:
CREST INV CORP 14520001 0008836 CRES7 INV CORP
1444 KINGS WOOD LN 1444 KING5 W000 LN
EAGAN MN 55122 EAGAN MN 55122
(612) 452-0001 (612)452-0001
I hereby acknowledge that I have read thi.s application and state that the
infiormation is correct and agree to comply with all applicable State of Mn.
StatuCes and City of Eagan Ordinances.
L
?
?
1 T/PERMI SIGN L?
fiaLn 111?,J?
I SUED B. SIG ATURE ?
I
a [?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed ar 3) lot change is requested once permit
is issued.
Date _S` Valuation of work
Site Address: ???s ?0 4.6 KQ7
STREET SUITE J!
Tenant Name: (commercial only)
LOT ? BLOCK ? SUBD P • I • D. #
Descri tion of work:
The applicant is: ? Owner I?( Contractor ? Other (Describe)
Name Phone
Property IAST FIRST
Owner
Address
STREET STE 1l
City State Zip
Company Phone
Contractor Address Lr/dLd .?h` ° License # -, Exp. ? y
6n le,
City .+?dA--t1 State Zip .?5/'LZ.
Company ??.s s? L 4- .dGSra.c/ Phone ?P,a S-S?17CJ
Architect/ ?
Engineer Name Registration #
Address y 9 Sid 1.?Y.PfG Q?' ;
City /,(/A- State Zip 555??35'
Sewer & water licensed plumber ?e?YD.r/D Processing time for
sewer & water permits is two days on e area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
, ?.
CITY OF EAGAN ,'°""" RECEpd?D
??? 1994 BUILDING PERMIT APPLICATION
681-4675 ? ? "Y 0 5 1994
? ? . i ?$.3? ----------- ---
BUILDING PERMIT TYPE
? 01 Foundation
0 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
OFFICE USE ONLY
? 06 Duplex
O 07 4-Plex
? 08 8-Plex
? 09 12-Plex
13 10 Multi. Add'1.
?Ly J??? ??V?'?IYr
46
? 11 Apt./Lodging
O 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
? 16 Basement Finish
O 17 Swim Pool
? 18 Cvmm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
13 31 New ? 33 Alterations 0 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable) V Basement sq. ft.
lst F1
ft 380 MWCC System
W
Cit
t
. sq.
. a
er ?
y
UBC Occupancy 2nd F1. sq. ft. Il2 v PRV Required
Zoning R_/ Sq. Ft. total Booster Pump
# of Staries z Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code ?
Depth On-site sewage SAC Code o/
Census Bldg /
APPROVALS Census unit i
Planning Building Assessments
Engineering _ Variance
REQUIRED INSPECTIONS
?.Site
? Wallboard
Footing
? Final
H Framing
? Draintile
12 Insulation
? fireplace
Permit Fee veiuac;a,: g ?o? ?Oo
Surcharge r35, t? /s f
`
Plan Review ( k Z(,
License
MWCC SAC .Zx ?y Zg
City SAC 2O? ?/ ` ?o
Water Conn.
Water Meter
Acct. Deposit
S/W Permit pszzo
S/W Surcharge >
Treatment P1.
Road Unit
Park Ded.
Trails Ded. Zo.,-jyy = "0
M ies /S.S?frB - !zy
er
Tatal: 12A-10
?-
_
I /z`/k Sy `- (p0)?9G
SAC %
SAC Units
3 z,?- zo = (a Yo
?2YX J6 = I/?
?_
MRY 09 '94 06:13 CP2LSiDN RND CWRL97N 612 eO1 0135
CERTIFICA7E OF SURYEY
? 4AND SURVEYORg
TO: 6124547198 P01
-!"ry R. 00"&rc, ;)su,
B7t3 OUPONT AVfeNUO SOVTH
BLOOMiNGTOM, MiNN. SSavO
8!0•iOBa
,_., Survey for:
CARt KEVt_IN
Y Q ? *;
? hH
\30 ? ?i,Pi
j'B4 °36 `uJ
_
m?
m
.
.i
A N
R E V I E W E D
. 57 71
7' 84!' ' ?v .---
•
i? ?9? h,1 N4{ ya pg w+ k ?
0 OY = QO
r
?
a3oZ? _ ? u ,? y M?
? ? N M) a A? ?
m ?
?30 ob _ y - h+
's?,v°? <. ? q r.•?
?
u
? ? .s?5...'?G
?a
/) I
?\,• Q ?
V ?
I ?
x) I
m ?
J? I iu
?
?
Y)
V
lot 3, B10Ck'1, KINGS WOCD D ? i
2ND ADDITION -?
I EAGAIV E1VGIl .ERI G DEPT.
PYOposed Grddes:
7op of 9locks 22g Garage floor 93Lp Basement floor 89 S
NCTE: Gircled elevations are proposed, others ara exlsting.
Arrows denote direct9on of drainage.
BenGh Mark, top hydrant at NW corner of Lot, E1=900.79 ft.
We hereby certify that this is a true and correct representation of a survey of the
boundaries of the land above described and of the location of ali buildings, if any,
thereon and all visible encroachments, iP any, from or on said land.
Dated tnis 5th day of May 11994 .,
I /?
bY e-
, nnesosa LiCense No. Y018
?
W
R
m a r`n?
< ?
m -J
a < m
W y
C3?r0 0 :
?
C ?
!Y ?
Q' 0 0 •
0 •
13-0 0 •
Er ? 0 •
?o o ?
p--? 0 •
LOT SURVEY
PROPERTY LEC3AL•
DOCIIMENT STANDARDS
FOR RE3IDENTIAL
PERMIT
Date of 8 rvey: ?
??? ?
.f?
17ei ?pX
Registered Land Surveyor &ignature and company
Building Permit Applicant
Legal description
Address
North arrow and bpr-scale
House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
Directional drainage arrows with slope/gradient %.
Proposed/existinq sewer and water services
Street name
Driveway
Existinc
9`13 0 • Sewer service
(}`? ? • Lot corners
Cd'? 0 • Top of curb at the driveway
?p ? • Elevations of any existing adjacent homes
PIODOSed
Cr-0 D • Garage floor
(Y ? ? • First floor
Cd- ? LI • Loweat exposed elevation (walkout/window)
p??EI ? • Property corners
CY ?? • Front and rear of home at the foundation
PONDINQ AREAS (if aDOlicable)
p PJ'?O • Easement line
O O'? 0 • xwL
D 0'? ? • HwL
? 01? ?1 • Pond # designation
p? p • Emergency Overflow Elevation
GK-0 o
Cr'? 0 0
e'n o
C' 0 0
0 V10
DIM£N8ION8
• 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
existinq homes
October 1992
f=
S42LF. . INv ??? • 866.0? 21.0
W 32 L. ,F. gSMT. ELEV. 878.5 NOTE? ?
SAN 17ARY SEwER
V7+44 IS LOCATED 5 SOUTH ?
OF PROPERTY LINE. 79.0(
> L.F. ? BGl '•01
L.F. L} 95? ? /
I$4t62 EXIST WATER?-
3•0 S 34 L.F. SFRVICE
882.5 330 `- - ?
HY S"+93 M.H. I 6; ;. _
S 37 L.F.
'Q 882.1 ?
2 `
?
Ex\5?\N?' d -
?pvsF- EXIST. WATER---, ?
SERVIGE - c? EXIS
ER?
?'J rn
? 7AIN'?
QTE
? WIDE PLA
? (POLYSTYRE
????630 ?? \\
\\ i
58W 4-f-07
5 42L.F
( W35LF.
0 879.5
55.0
/
0.0, %
fER g52L.F.
XTEND I µ, EX7ENDED 22L
12 eas.a /
Ou?IER:
EXTERIOR ENVEIOPE AYERAGE "U" COMPUTATION ?
, SITE ADDRESS:
.
I
CDNTRACTOR: GAR.I.., 6EVL)N - DATE: "i'ZB'?I? PNONE:
l??.. ....
• DETERMINE VORKING SO,UARE FOOTAGE Of EACH:
? 3q3. . ..
3. TOTAL EXPOSED 4ALL AREA,,,,,,,. Q. sq ft x"U" •?? ? ?32.3
2. T0T/1L ROOF/CE I L I NG AREA......... ;,q f t x"U" .
;. TOTAL EXPOIEO 14ALL AREA CALCULATIONS:
Total exposed wall , .;, ,
area above floor.,,,,,,, 3H32:q fe ?.
e) Tota1 wail wTndow area:
?t)W E- ,qlazed...... ' ?2?• sq ft x ??U" ,?j • _._1.V r !
-?-
glazed...... sq `ft x "u" ?
b) Total door area ,,,,,,,„ sq ft x"U"
e) Total sliding glass door area: •- ..
LovJ F glazed...... g0 sq ft x"U"
.
glazed...... s.q ft x "U" ?
d) Total fireplacc wall area sq ft x"U" '-
e) Total aall framing araa
(Average )OR)........... 2Q8•5 sq ft x"U" ?o 2
f) •Total net wall area above
floor (Insulated)....... ??pb(P.S sq ft x"U"
g) Total rim Jo1st srea.... .. ?J ? R. sq ft x"U"
Total foundatlon '
area (Exposed).......... f'rJ? sq ft
h) Total foundatlon '
- :q ft x "u" , 5 - -
NTndow arca.....???????•
1) Total net foundatlon '
erea above grade........ sq ft x"U"
3. TOTAL a) thru I) •???0.95
If ltem E3 is the iame as, or Iess than item IF1. you have met the intent of
S.B.C. Section 6006 (c) 2. ,
4.• TOiAI EXPDSED ROOF/CEILING CALCULATIONS:
Total exposed
, roof/celling ua?......,. I I sq ft. •
• 1) Tota1 skylight srea.......Rq f.R x"U" ?'7 • "'
k) Total roof/ceilinq irsming
aras (pw.caaa 10lt)...i4 ft x "Ull •?2. ? ?-1-
1) Total insulatcd
roof/cciling area ..... 2. O sq ft x"U" .?? Z?q?o :
4, . TOTAL J) thru 1) 3?•3S
If total of 04 ts the sama as, or less than /2. you have met the Intont of
S.B.C. Section 6006 (c) 1, ,
ALTERHATE BUILDIHG ENYELOPE DESIGN
To ut111ze the total envelope system method, the values established by the sum
of (tems I3 and 04 shall not be greater than the sum of items Ai an,d p2.
1. ; 2. . u
3. t
C E R T I F I L A T I 0 N
1 hereby certify that I have calculated the "U" factors and "R"
values hereln and that the bulldinn here described meeta or exceeds the Stata . .
of Mlnnesota Eneroy Conservatloe Act..: y (RU5s'Zo1 -
Siqnature
?- 2g- 95?
(Date)
" ' --._ ._. ..
---• ..... -- _ _..._--------
' ?? ---- _ -
V
I LOT S
BL
?
CITY USE ONLY
ff-
RECEIPT #:
(2 f2`01 '7?Lc'-,
C
RECEIPT DATE: l V " (o ?
1996 M£CiiANICAL PEgMIT (fiESID£NT1AL)
CITY Of £RfikN
SSSO PILOT KNO$ RD
£RfiAN bIN 55122
Date: (61E) 6$1-4675
7>
Complete this section onfv if you aze installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• H'v'AC: 0-100 IvI B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.) 1??0 O
• State Surcharge: .50
• TOTAL: 3 ? • 17c)
Complete this section onlv if you aze remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in
existing residential units; but is required for the following:
Install furnace _ Install air conditioning
Install air exchanger, i.e. Vanee system, etc. _ Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surchazge --? .50
kl / ? T otal: $ 20.50
-
„
SITE ADDRESS: `? ? Y Vi J V V V r v V ? OWNERNAME: I??1`?? ??nVIV??DY? l DVIS? PHONE#: p?Z -sZa)
INSTALLERNAME:?1?V `1 1 A?f Yl? PHONE#: LI13' ZZ&?
STREET ADDRESS: N5-i i? ? t,5-' 7?? NA a-I 250 -
CITY: VWmoLl-? _ STATE:V'N_ ZIP: '3 54 L4 -7
n! YI ti/I 1?/ ? l?'?'I d.l './ i
SI AN OF P RMITTEE
]S/FORMS BLD/MECH PERMIT (RES) • 1998
L BL
SUBD.
APPROVED BY:
1996 MECHi4ATICAL P£RhI1T (COMbIERCIAL)
CITY OF E4fiAN
S$SO PILOT KNOB RD
EAfiEllY, MN 55] YE
(61E)6$1-4675
Please complete for: ail commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x 1 %
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE ($.50 per s 1,000 of oermit fee due on all permics.)
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
PHONE #:
ADDRESS: PHONE #:
CITY:
CITY USE ONLY
RECEIPT #:
RECEIPT DATE:
STATE:
ZIP:
SIGNATURE OF PERMITTEE
PLEASE COMI'LETE FOR SINGLE FAMILY DWELLWGS. AL,SO, FOR TOWIV+I=IOMES- AND
CONDOS WHEN PERMITS ARE REQUII2ED FOR EACH UNTT.
----------- - -
SITE
NO. FIXTURES EA'CH TQTAL
I SHOWER 3,00
WATER CIASET• 3.00
-
? LA ATORY 3.00
T
- KTTCHEN SINK 3.00
? LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00
? FLOOR DRAIN 100
GAS PIPING OiTTLET •minimum - i 3.00
.9 ROUGH OPENINGS 1.50
WATER SOFI'ENER 5.00
PRNATE DISP. • naLccy. u? 20.00
U.G. SPRINKI.ER • nome under ooou. 3.00
ALTERATIONS • w aduing 20:00
WATER TURN AROUND 20.00
STATESURCHARGE
TOTAL:
OWNER
ADDRFSS:
CTTY: STATE: ? • ZIP CODE::
PHONE #:
?
ry,
1994 PLUMBING PERMIT (RESIDENI7AL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMNERCW-/INDUSTRIAL BUIL:DINGS. ALSO FOR MULTI-
FAMII Y BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR BACH
DWELLING UNTT.
_ NEW CONSTRUGfION
ADD ON
- REPAIR ;
woRK nESCxIMox: _
CONTRaCf PRICE: '$
y
FEE: 1% OF CON'1'R.4C(' TEE.
STATE SURCHARGE: $.50 FOR EACH $1,000 OF ??.
AIINIMUM FEE: $ 25.00
CONTRACT PRICE X 1%
STATESURCHARGE
TOTAL
SITE ADDRESS:
$
S
S
TENAiVT NAIVYE: . ? ,ST'E. #
OWNER NAME:
INSTALLER: ..
ADDRESS:
CITY•
PHONE #:
STATE:
' ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
1994 PLUMEBING PE1tMIT (CONIIIZ°IItCIAL)
CITY OF EAGAN
3830 PILOT K1W,UB RD
EAGAN MN 5512E
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIItED FOR EACH UNIT.
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE %?
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OLTTLETS (MINIMUM 1@ $3.00 EACH) (o`I )
ADD-ON/REMODEL (ExIsTuaG CoNSTRUCr[oN)
STATE SURCHARGE
TOTAL
SI'I'E
OWNER NAME: i
INSTALLER: ?
FEES
$ 24.00 ?
6.00
, ??
$ 15.00
.50
p
-? KLI A ?:tJ
TELEPHONE #:
. Z/5"
.;?- ??l
?4 -I-Lt
CTTY: YV I?? S STATE: ZIP CODE: 6_?7O 7
TELEPHONE #: &Z
-"93'MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
1993 MECHANICAL PERMTT (COAMEItCIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMIvIERCIALAINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMII.Y BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DATF• y CGiv'TRAc';'T PRICE:
?/?'
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF PFEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF "MM FEE.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
7`ENANT NAME: (IMPROVEMEN7S ONLY)
INSTALLER:
ADDRESS:
CITY: STAT'E: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECTOR
1s 7 ?_3
zoos RESIDENTIAL PLUMBING PeRnniT aPPUCaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
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Site Street Address ? I Unit #
2 Telephone #( 6$i) (4O53Il C
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Owner P;CX1C(
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Contractor
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Address ? City State_,M P? Zip
The Applicant is: _ Owner (/Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fxtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are installing onlv a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
? _ Water Turnaround (add $130.00 if a 518" meter is required)
i
Other.
?
_
V Water Heater
Water Softener $ 15.00
_
? ?
_ new 4€placement
Lawn Irrigation _RPZ _PVB _new repair rebuild $ 30.00
? 11 ? it
? State Surcharge NOU 2 _?
$ 50
15-15
Total L
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is compiete and accurate; tnac me
work will be in conformance with the ordinances and wdes of the City of Eagan and the plumbing wdes; that I
understand this is not a permit, but only an application for a permit, work is not to staR wiihout a permit and work will be in
accordance with the approved plan in the event a plan is required t be reyiewed and approved. '
? ?
Applicant's Printed Na e Ap lic nYs Signature
Cf
Use SLUE or BLACK Ink
I For Mae Use
of Eat 1a5.
Permit Fee: ,
3830 Hot Krroe, Road , 9117113
Eagan MN 56122 { Date Received: I
Phone: (651) 676.4678 t Stag }
Fax. (661) 675. 894 p - ' V I
yam..-.......-- .~r,._-_--_._J
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: $hs Address: Unit
Name: 1 S4J C jr\, Phone:
Resident! ~1Z
N
t Owner Address I City J Zip: L4 I Y,, s kboA !EOq Ark
Appl' Der ConttaCt.QL'
O
rcant is; w
Type of Work Description of work:
Construction Cost 15, Mufti-Family Building: (Yes No
Company:' JGJA)A 'Lt(e.C ADRG-S VK ) LContac SflAJfP--' ~ It?t-.aw
156'31 bA9
Address I~} , Q oily: a T
Contractor
State: e r Zip- I Phone: I
z ~ q
Ucense AF Ja s` Lead Certificate # 57396-/
If the project is exempt from lead certification, please explain why. (see Page 3 for additional Information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan Issued a permit for a sknilar plain based on a master plan?
yes No If yes, date and address of master plan:
Ucensed Plumber: Phone:
Mechanical Contractor. Phone:
Sewer & Water Contractor. Phone,
Nt31'E. flans and supporting documents that you s ybmtt are considered to be public lnforarrafian. Portions of
the hf'ormadoh may be class trled as non-public if you provide specit7c reasons that would permit the city to
conclude that they are trade secrets. ~ . .
CALL BEE= Y-oU DIG. Call Gopher State One Call at (861) 454.OOO2 for protection against underground tillilty damage. Call 48 hours
before you intend to dig to receive locates of underground udines. www oophem +eQa%mL st
I hereby acknowledge that this in 01rurtion Is complAte and socurate: that itre work wUl be in contotmaroe with the ordinance and ode work w Of
Eagan; that I understand this is not a permll, but o* an application for a penr4 aril work is not to start without a permit,
accordance with the approved pleat in the case of work which requires a ravtew and appr" of plans.
within 180
Exterior work author tted by ar bulkling permit issued in accordance with the Minnesota State Building Code must be completed
day% of paindt "Nam
, ~4tt 44 LL~55 ou dd~c ~hh- ee m ~ A w~ -
Applicant's Printed Hanle ~~,,4qq a Signature page 1 of 3
tJ
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA148932
Date Issued:04/27/2018
Permit Category:ePermit
Site Address: 1414 Kings Wood Rd
Lot:3 Block: 1 Addition: Kings Wood 2nd
PID:10-42001-01-030
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.
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 -
Richard R Clapp
1414 Kings Wood Rd
Eagan MN 55122
Signature Home Services
15631 Darling Path
Rosemount MN 55068
(651) 731-1147
Applicant/Permitee: Signature Issued By: Signature