1422 Kings Wood Rdd • t?';?,v
?e?t??icate vf vccuoaqc?
? ???
st"IT131111Mt .? eumdus aKa"mtim
This Certificate issued pursuant to the nequiremeats of the Uniforni Building Code
certifying that at the time of issuance thir structrn+e was in comptiance with the varrous
I
I
orrlinances of the City regulating building construction or use. For the following:
SF DWG/GAR 1290
Use Classification: Bidg. PerWt No.
- - - Vn
Oc-p-cr 1Yre zoning nisa;d TyW coosL
OwnerofBuilding OZIYlUN BLDRS IHC Ad&x= 151136 GAI.AXIE AVE., APPLE VAI.LEY
Birilding A D RD Lonlity L7, B1, K1NGS WOOD 2ND
MAY 26, 1993
Date-
POST IN A CONSPICUOUS PLACE
'k
----------------
..INSPECTIUN RECORD c°"tr°' "°. 0961
CITY OF EAGAN PERMIT TYPE: Bu Itu t Me
3830 Pilot Knob Road Permit Number: 0*124•
08fi9/92
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: i Oj ; 7 bl,ock: I APPLICANT:
! q:?.? Ic LM6S WaaD Rp 0tMUN OLORS INC
K IIiiAs WOt)b 2N0 (6IZ) 431-6090
PERMIT SUIBTYPE:
TYPE OF WORK:
?
INSPECTION
F1to1 INA ..
'•?
S .
i FtAMINi;
?
I
INaUT A1 tuM ' P1NA1
F iRt P! RCi I
RTIMARK :; :±i & W I:QfVTRACTIOR °- PF.'JIiE Ili. Q8
m
C'
[ ? . ,... ? ._ - . . . _ ... - .:?.. - _ ? . ,. ?? ? . . , -..: ... ? . . . " - ? : :?_ -. - r?_ . ?' . • ?... ..
im? ?l?VFw/?
PMmft No. Parmk Ho1dw Dats Telaphorr 0
SNY
PLUMBfNG s .7- Q
MVAC
. ..
ELECTRIC JJ `?,?,2
ELECTRIC
IraDwtlor? OtM Insp. Commenq
FOOUngs I krZ
Foundatlon
Fr9rMng
Roafinp
L!/
Ro.pP1ba-
RoUgh Htg. b a ? ?
lstd.
Fi?
Final Htg.
aBaa Test t r, t •
Fnal PIb9• ? p
/ Pb8. Irropedw- NotifY Ptumber
Corist Meter
Enpr./Plen
Bldg' FinW
Dock Ftg. ,?. ?Z,93 S
°eck F'^W S O
We,l
Pr. Dtsp.
!a
Addiess 1422 KINGS WOOD RD ZIP 5512_
Lot' ' '7 Blk 1 Sub KINGS WOOD zrrn
THESE ITEMS WERE / WERE NOT COMPLEI'E AT THE TIME OF THE FINAL INSPECTION.
Date: 5/26/93 Yes No Inspector:
Final grade (6" from siding) 4/
Permanent steps (garage) ?
Permanent steps (main entry) t/
Permanent driveway V?
Permanent gas
Sod/Seeded grass
TraiUcurb damage ?
Porch ?
Basement finish
Deck
Please verify with the buildet the removal of roof cest caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contraclor Copy
INSPECTION
2 0 4 2 4 • -qye msVUdions lor com0186?g th5 fOrm 00 beCk Of yBllpw Wpy.
K 8elow Work Covered by This Reguest
?cN? EB-00001-08
??.?'s' 7?v73
+?/O
e Atld. Rep. • Typedl6uild7?y` AppliancesWued EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt Building Dryer pther-(Specify)
CommJlndustnal Furnace
Farm Air Condrtioner
Other(syecfy) Conlrector's Remarks
Compute Inspection Fee Below
# Other Fee # ServiceEnlranceSize Fee # Circwts/Feeders Fee
Swimming Pool 0 to 200 Amps :n ,7 0 to 100 Amps by, Uo
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspecror5 Use only 7p7pL
Irngaaon Booms G(f ? 4-D
Special Inspection
Alarm/COmmunication THIS INSTALLATION MAV BE ORDE EO DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
1, the Electrical Inspector, hereby
certif
ih
t th
b
i
i
h Aough-in oaie
y
a
e a
ove
nspect
on
as
been made. oWa
OFFICE USE'JNLY
Tha request wi0 18 monihs trom
K_
0424
rr
Reauest ate Frta Rough-inlnapecGan
w` Z peqydo
7,3 ?
? R¢ady Naw ?'?MJI NoLty Inspector
When Reatl
'
s C No y
IX licensed contractor D owner hereby request inspection of above electrical work at:
Job Atltlress (Street Bax or Route No ?
?22 ?•' .;??? .Ca? Qry
?'?&
SecLOn Nc Towns?i0 Name or No Range No County
O+C / f f,
OccupantlPRINT)
0f37- Phone N.
Power Supplier
D,4Kof4 5kc7'iCcG Adtlress?n /
Eleclncal Gonlraclor (COmpany Name) ConVaCtorS Lmense No
c4 ool?/
Maihng Atl ess ICOnlraclor or Ownar Mekmg IneHallaLOn)
12 12s ?4,4„
HuIDOny?tl SynaWre (COn t 0. ne Ma5 g InstallaLOn) PllonB Number
MINNESOTA STATE BOARO OF ELECTFICITY THIS INSPECTION PEOUEST WILL NOT
Grigps-Midway Bltlg. - Raom S173 BE AGCEPTED BYTHE STATE 60AR0
1821 Unlverelty Ave., SI. Paul. MN 55104 UNLESS PPOPER INSPECTION PEE IS
Phone (BiSJ 6,12-0800 ENCLOSED.
'7Sq / V
2006 RESIDENTIAL MECHANICAL rExMiT arrLicATroN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Piease complete Cor single family dwellings & townhomes/condos when permits are requin;d for each unit
Date ( 0 / ,?, / 0(O
Site Address
Unit #
Property Owner "" eV?-?" L ([?(/?
` TelePhone # ?/?'
?o
b
Contractor STANDARD HEATING & AIR CONDITIONIMG
4101AE$T-C?KIE EET - --
SCreet Address MINNEAPOLIS, MN 55408
-----
^
Cit
y
- &i-2-Sz
4-M6 - , -
Sla[e 'Lip Telephone # ( )
Bond #: Expires;
The Applicant is _ Owner ? Contractor _ Otfier
Add-on or alteration to existing dwelling unit $ 30
00
.
furnace _Additional ?Replacement _ New
air exchanger
air condiTioner
heat pump
Ofh2(
Sfafe Surcharge $ .50
Tatal
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance wi[h the ordinances and codes of the City of Eagan and with the Mechanical Cod • tha[ I understand this is not a
perm? but only an application for a permit, and work is not to start without r'T, that th or i e in accordance with the
appr d plan in the case of?y hich requires a review and approval of ns. ?os ?
SN-Le? L/kM q-,Il)
?
Applicant's Printed Name Applicant's
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date 6 /?-
! uS
_
??t r1,,1
Site Street Address ?4Z2- i? 1?'1GlS N/UC? Pl P1 vt
Unit #
Property Owner aG l,l ?-?V ?Yl ??'1 Teiephone #( ?CS lo
H.P. PIPEWORKS
Contractor 3670 DODD ROAD Telephone tt ( )
Address ' ' n City State Zip
/
The Applicant is: _ Owner .
Contractor _Other
Alterations
to existing dwelling
$ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other.
.
_ Water Softener 1 ? Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RP2 _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
$ "SQ
Total
i hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
?Mind ?j I-}e.c.+
ApplicanYs Printed f?ame
? RA? ? ? T T
ApplicanYs ignature
JuL o s 2005
?
1E3 y-_: . _ ? -.C,' S
t-
{C * 2422 Enterprlsa Oriva
? * J I Mendota Heigfits, MN 55120
' PICiNEEF! WD SURVEWHS * pNL ENOINEERS (812) 681-1914-F0% 881-9468
enginaermg UND PLANNGR4 • 1AH09GP! AFiCH17E075 625 Hlghway 10 Northeast
. * eloine. MN 55434
.? * * (612) 783-1880-Fox 783-1893
Certificato of 5urvey for: Ozm u n B u i I d ers. IIl C.
House Address: Kings, Wood Road Eagan. MN
? Model Nome: ?4 ?
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. soa.o Denotes Existing Elevatlon pROPOSED HOUSE.,51.E'JAT10N
. ao Denotes Qroposed Elavotion Lowast Floor Eleratioro:8.22.40
? Denotes Drainage & Utility Easement Top of Block Elevatton:900.50
- Denotes Drainage Flow Oirection ` Garage Slab Elavation:899.50
?- Denotes Monument
_-a-- Denotes Offset Hub Bearings shown are assumed
LOT 7, BLOCK 1._ KINGSW00? 2N ADQITIQN
DAKOTA COUNTY, MINNES07'A
1 hereby oerciiv ehai thto eurvaV, plen or npen was prepared by me or under mv direcc eupervtston end thoc I am duly acglnerad Lend surveyor
under thY laws of tha Stete ot Mfnnasota. Oetvd thls Q; 111 day of Au6, n.o,,e 9? ,
iLSV, nY30f6 74SV. LOIATIIN J3I1d?I)2,
?/
/adc? CXiTI 6IPVf. A?7. 7 /q9 / /I f/ n
7o sv
' 2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Cansiruction Reauiremenis RemodellReoair Reamrements OKrce UsebrdJ
3 registered site surveys showing sq fl of lot, sq. ft. of house, and all roofed areas 2 copies of plan Ged 4f S4!NeK ReCd " -.. Y..-N
(ZD% maximum lot cwerage allaxed) 1 set of Energy Calculafivns for heated addhtions IrezPrw }l19n ReBtl _Y, ,-N.
2 copies of plan showing beam & window sizes; poured found design, eic. 1 stle survey for addihons & decks T[ee.Pras"Requvred •:.• -_Y. .,.,,N
1 setofEnergyCalcula6ons Addition - indicafeifonsilesepficsysfem Qr?-a1t6Sep'GCSysiem ,....Y..,...N
3 copies of Tree PreservaLon Plan if lot plalted afler 711l93
Rim Joist Detail Options selecfion sheet (bldgs wdh 3 or less units
Date /?/? Construction Cost ?f0o? be
Site Address UniUSte #
- a- 09 %%
NaL .SiX
Description of Work oQ S t`C-tA
.
Multi-Family Bldg _ Y? N Fireplace(s) _ 0 X 1 _ 2
Property Owner ?q 0 iJ ??C' ??a C?2 JEA Teiephone #(?-a ) 4 O
'
a
Contractor y1?p -
T
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Miimesota Rules 7670 Cate¢orv 1 _ Minnesota Rules 7672
Energy Code Category , Residential Ventllation Gategory 7 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations SubmiKed
Have you previously constructed a b
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Conhactor
with a similar pfan? _ Y _ N If so, 257o plan review
Telephone #(
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 pernut, 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 re uires a review and
approval of plans.
?AvL- R , <,?eQ erli ?
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Founda6on ? 07 OS-plex ? 13 16-plex ? 20 Poof
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 OB-plex e3K 16 Deck ? 23 Porch(screenlgazebo)
? OS 03-plex ? '11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Yor_ N ? 25 Miscellaneous
Work Types
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 31 New ? 35 Int Improvement ? 38 Demolish IMerior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (EMire Bldg) - Give PCA handout to applicant
Valuation ?!_,,
Census Code ?
SAC Units
# of Units
# of Bldgs
Type of Const
Footings (new bldg)
? Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Tes[ _ Final
_ Insulation
? -L
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
FinaVC.O.
? Final/No C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
Windows
_ Retaining Wall
Building Inspector
I'J ?i(ilc
2, c? ??
tc?_?
? PERMIT Control No. 0961
CITY OF -EAGAN
3830 Pilot Knob Road PERMIT TYPE:
B U I L D I N G
Eagan, M innesota 55123 Permit Number: 001290
(612) 681-4675 Date Issued: 0 8/ 19 J 9 2
SITE ADDRESS:
1422 KINGS W000 RD
LOT: 7 BLOCK: 1
KIN6S WOOD 2ND
DESCRIPTION:
, .
;8uilding Permit Type SF DWG
Building'Work Type NEW
UBC Occupancy R-3 M-1
ConstructAan Type V-N
2oning R-1
Building Length ? 66
Building Width 47
.
REMARKS: '(J+,ej2,0 4?5 3
S& W CONTRACTOR - PEINE PLBG
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC 8
SAC Units
Subtotal
$912.50
$593.13
$89.00
$700.00
100
$2,294.63
$178,000
MISCELLANEOUS $1,610.50
7ota1 Fee $3,905.13
CONTRACTOR: - Applicant - ST. LI OWNER:
OZMUN BLDRS INC 14315000 000104 OZMUN BLDRS TNC
15136 GALAXIE AVE 15136 GALAXIE AVE
APPIE VALLEY MN 55124 APPLE VALLEY MN 55124
(612) 431-5000 (612)431-5000
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 Mn.
Statutes and City ot Eagan Ordinances.
? -
'i? ? v
, C r'? ' am k ,1 ?T?I?Jf _
APPLICANT/PERMITE IGNATURE ISSUED BY. SIGNA UFq
i ?
PERMIT #
`REACTTYATE '
' Z90
CITY OF EAGAN 43,109-13
1992 BUILDING PERMIT APPLICATION
681-4675
.I+UG S .1 REcO Corfccr 9-ilt
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 when typing of permit is requested, but not picked up by last working da?y
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date Valua ion of work
Site Address: dz?
STREE SUITE t!
Tenant Name: (commercial only)
IAT g? BIACR SUBD. P.I.D. A
rr S (/Y riar9
Descri tion of work: G oiy rf-a?T f d F .J'/iv ?- f?„r,1. /1 ??c 4 al _FG
The applicant is: Owner ? Contractor ? Other (Deseribe)
Name _0.2-1'zi-4ih- 6'z1;_1P.•4 -f TA C_ Phone
Property LAST FIRST
Owner Address
?fx i ir 1,04
STREET STE N
City ??1?/:'? ?a,?L?y State Z;p 5? /dS
Company Z? e Phone
C011treCtOP Address ? S/ 3G G aG ?,r/? 4?-{- L9cense #OaoloYY Exp.
City Y State Zip ?rIOS
Company Phone
Architect/
Engtneer Name Registration #
Address
City State Zip
Sewer 8 water licensed plumber Processing time for
sewer 6 water permits is two days once area has been approve .
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with atl applicable State of Minnesota Statutes and City of
Eagan Ordinances.
t
Si
f A
lt
gna
ure o
pp
cant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
)9f, 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 5F Misc,
WORK TYPE
Vr31 New
? 32 Addition
? 06 Duplex
0 07 4-Plex
11 08 8-Plex
? 09 12-Plex
? 10 Multf. Add'1.
? 33 Alterations
El 34 Repair
GENERAL INFORMATION
'S Footing
? final
tonst. (Actual) V-hl Basement sq, ft.
(Allowable) lst Fl. sq. ft.
UBC Occupancy 2nd F1. sq. ft.
Zoning ?-i Sq. Ft. total
/ of Stories Footprint Sq. ft.
Length ? Un-site well
Depth On-site sewage
APPROVALS
Planning Building
Engineering Variance
REQUIRED (NSPECTIONS
? Site
? Mallboard
Permit Fee
Surcharge
Plan Review
License
NlWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
sac x l?o
SAC Units
.
? 11 Apt./Lodging
O 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
0 15 Deck
? 35 Tenant Finish
? 36 Move
11 Framing
? Draintile
^ io
? 16,;BasgmeF,+-F$nish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code /b/
SAC Code oi
Assessments
vetuoccon: g_ 17?, & D 0
"-
CTAr4.a?: 3! x/??= 5?! x 16
- - .3?rx3z=ios^
= 1i4,2c(
? Insulation
? Fireplace
059
r_oo2 l.re 3 K 15=
-?,
iSu 5 x "s 3 •!
?ND FLeoY?,
3N x 32 ? IoAe
ILXZo ; 3z?
rz,j t S"=
-2;? ) 5'l5
?9?t65
?
?`X?'= G?'?7 21°i
r.Qc
-IlK
y rt??EE^ ! D 9URYEYA
? angIneorind LAND PLANNER9 •
* * * *
2422 Enterprlae Orlva
Mendota Helghts, MN 5512Q
612) 687-19746Fax 881-9488
625 HVghway 10 Idortheost
eloine, MN 55434
612) 783-1880•Fax 783-1883
Certificate of 5urvey for: OZCI'1L]Cl Builders, II1C.
House Address: Kings Waod Road. Eagan. MN
? Madel Name: #_4
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x 9oo.n Denates Existing Elevatlon pROP05E0 NOUSE _KL `J?, ATIQN
x?2ao.c? Denotes Qroposed Elevation Lnwesi Floor Elevatiore:892.40
_--?-_ Denotes Drainage & Utility Easement Top of 81ock Elevation:900.50
Denotes Drainage Flow Direction •
--o- Denotes Monument Garage Slab Elevation:899.50
.?--- Qenotes Offset Hub geanngs shown pre assumed
LOT 7, BLaCK 1.._ KINQSVQUD 2ND ADQ
OAKOTA COUNTY, MINNE507A
I hefC6V t¢rtify th2t thi9 611NeV, pl0n Of rBport wae prepered by me or undll MV direat auparvlsFon bnd thax I em dulµRegistBred Lend Surveyor
under tha lawa o/ tbe Stetc of Mionnote. Oeted thls 15n4 day of A+- A.D. 19 9? .
r<e% r--?OP 745V-, LPeATIIN 6171q1112,
Md Cx; rl Elovs. '-?/ , /'J //- ,
OZMUN BUILDERS, INC.
DESIGNERS AND BUILDERS MNLic.0001044
15136 GALAXIE AVENUE, APPLE VALL.EY, MN 55124 (612) 431-5000
. Average "W,Computation
Job Site Addres
Legal Description: V . '
Lot ` Block I Addition?l? Date?5 ' I I ' I;P-
AVERAGE LINEAL FEET OF •
EXPOSED WALL AREA ABOVE GRADE
Main Level
Lineal' £t of
Second leveT
Lineal ft ofVaulted Area
Lineal ft of
Rim Joist Ar6a.
'Lineal ft of
Lower 1eve1 •
Lineal ft of
Lineal ft of
Lineal Et of,
framed wall above gradem x height of wall
framed wall above
framed wall above
rim
framed wall above
framed wall above
masonry wall above
grade_UDx height of wall$
grade10,P- x height of wall ?019-
3" x height of rim
gradexheight of wall=
grade x heiqht of wall =
grade x hgt•.Aboirevgrgde_L_=
Tptal wall •ar.ea .above grade including windows and doors
WINDOW$: Brand and
AZ'@a X "U" value
C
gq.ft.
4 /7 sq. ft.
II a? sq.ft.
2• I?a i ? I? ? . sq. ft.
,i,i I • ? 5sq.ft.
122 S t sq.ft.
sq.ft.
? sq. ft.
lilrm ' s Et
= 3La .
nVu , +I a
iiuii a
uVVi:?a
ou ?
uUn a
uUa a
nUn-_'
aUu a
u0u ? -
n uu--?a
uVn?a
uVu a
uVu a
uVu ?
135, I I
U??
U ??
"U" 36 =
nVo =
4- sq.ft.
E
'?J ! sq. ft.
M
sq.
I• sq.ft.
.x
' sq.ft.. x
Doo?js: Ar.ea-x "v" value
?' ft- ( sq. ft .'Z1 ? x
rp?c __r sq.ft 90, ? x
`I P sq.ft. , x
sq. ft. x
OPAQIIE WALL-CONSTRUCTION:,Area x"U" va uel-- .
' Framing members sq.ft ? ,? X
Framed wall sq. ft?=,45 . x
Rim Joist Area sq.ft 540 x
Masonry wall . sq.ft ¢ x
3360,35
a
U".091
oVn b =
?
"U" . I =
nVu, -
Total wall area including '
VPindows and -Doors a. S b?a?,
Total(u) values , b, AVCJ. "U" ? 5S
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, fo8
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r
l? sL CITY OF EAGAN
- ? PLUMBING PERMIT
SUSD..? ?,; ? ?a ? (612) 681-4675
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WfiEN PERMIT5 ARE REQUIRED FOR EACH UNIT.
CITY USE ONLY
RECEIPT C' J 70
DATE
ALSO, FOR TOWNHOMES AND CONDOS
WORK DESCRIPTION
NEW CONST _
ADD ON _
REPAIR _
OWNER NAME:
SITE ADDRESS
INSTALLER: ??? '
ADDRESS : ? PJ ? _2 3 L? .
CITY: ZIP:
YHONE 3 2""' '
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
REPAIR/ADD ON 15.00
? SHOWER 3.00 ?
? WATER CIASET 3.00 0"
I saTx T[rB 3.00
3oc
? LAVATORY 3.00 ?
/ KITCHEN SINK 3.00
? LAUNDRY TRAY 3.00 +c-D
HOT TUB/SPA 3.00 -
l
WATER HEATER
3.00 ?-"
/ FLOOR DRAIN 3.00 3 _Q
GAS PIPING OUT. ??,_
(MINIMUM - 1) 3.00 ?
? ROUGH OYENINGS 1.50 L4?D
_ OTHER
_ WATER SOFfENER 5.00
_ PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
_ W. TURNAROUND 15.00
STATE SURCHARGE .50
TOTAL:
?
f A/?VfILIl1ATfT
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. AISO FOR MULTI-FAHILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS:
TENANT NAME:
SUITE #:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
ZIP:
WNTRACT PRICE:
1% OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE
TOTAL:
$
(SIGNATURE)
CITY OF EAGAN
CITY OF EAGAN
L? B / a?ry? MECHAHICAL PERNIIT RECEIPT #?G
SiJBD. (612) 6814675 DATE - -
RESIDEIV7'IAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. AISO, COMPLETE FOR
TORNHOMES/CONDOS R+HEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT.
OWNER: ADD-ON A/C ADD-ON FURNACE ?
STfE S: ADD ON/REMODEL (E]IISTING
CONS1'RUCCION ONLI) $ 13.00
INSTALLER: ' HVAC: 0-100 M BT[T. 24.00
PHONE #: - 25-_3 2„ ADDITIONAL 50 M BTU 6.00
ADDRESS: GAS OU17.E"1'S • bIINIMUM 1 Q $3 EA.
CITY: ZIP: SURCHARGE: $ .50
SIGNATURE: TOTAL: $ 'r-
NO PERMIT REQUIRED FOR DUCTWO?tK ONLY!
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAI4INDUSIRIAL BUII.DINGS. ALSO COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUII,DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNIT.
R'ORK DESCRIPTION: , CONTRACT PRICE
"196 OF COIVTRACT FEE. FEES
STATE SURCHARGE IS S:SO FOR EACH
$1,000 OF PERMIT FEE.
$
PROCESSED PIPING - $25.00
MINIMUM FEE - $25.00
$
OWNER: TOTAL $
STTE ADDRFSS:
1'ENANT:
SUTi'E #:
INSTALLER:
ADDRESS:
CITP: ZIP:
PHONE #: CITY SIGNATURE:
SIGNATURE.
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
?zDo. 7,5'
New Construc0on Reauiremenis RemodeVReoair Reauiremenis Offce llse Onlv
3 registered site surveys showing sq. ft. of lot, sq. R of house; and all roofed areas 2 copies ot plan Cert of Survey Recd Y N
?
(20%mazimum lot coverage allowed) 1 set of Energy Calculations for heated add'Nons Tree Pres Plan Recd Y
N
2 copies of plan showing beam & window sizes; poured found design, etc t site suney for addillons & decks Tree Pres Reqd Y -N
1 sel of Energy Calculatlons Addition - indicate ilon-sife septic sysfem On-site Septic System _ Y_ N
3 copies of Tree Preservalion Plan if lot plaAed aRer 711/93
Rim Jast Deta'r! Options selaction sheet (Wdgs with 3 a leas umfs
Date ? / .s l 03
Site Address Construction Cost ?fpS9d .-on
Unit/Ste it
Descripfton of Work q-
Multi-Family Bldg _ Y? 14 Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone # ( )
Contractor `
Address
State _?,t( ? City ow 62
Zip Telephone # ( /j
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _
fee applies.
Licensed Plumber ?n ?? ? Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
N If so, 25% plan review
I hereby apply for a Residential Building Permit and acknowledge that the informarion 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 wYrich requires a review and
approval of plans.
A plicant's Printed Name plicant's Si ature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-piex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_YOr_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
Q 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) - 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 W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings(deck) FinaUNo C.O.
_ Foahngs(addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Fiaal
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117528
Date Issued:10/18/2013
Permit Category:ePermit
Site Address: 1422 Kings Wood Rd
Lot:7 Block: 1 Addition: Kings Wood 2nd
PID:10-42001-01-070
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 .
Noel Nemitz
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 -
Paul R Sevenich
1422 Kings Wood Rd
Eagan MN 55122
(612) 845-3945
Sunrise Exteriors
15612 Hwy 7 Suite 237
Minnetonka MN 55345
(612) 414-0228
Applicant/Permitee: Signature Issued By: Signature
City otBaQan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
OtI1;0
r
Use BLUE or BLACK Ink
For Office Use
Permit #: l 2'
/ <
Permit Fee: LAV
Date Received: 1 0-n- f
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 10'1e "`Ite
J
Site Address: L/d I.X1t�
Name: 7OAA/1.-f- k C.Je C •—) Phone:
Address / City / Zip: 1_11 a1?'e ta✓t 464- !F ' ktil / a�
Applicant is: Owner X Contractor
Description of work:
Construction Cost:
Company: Hon_`1/�
Address:7gw E 4aZShbre/tit) 4 NO City:
Statel4 Zip 51-1 :7 Phone7107'5`f(D p mailSTl. i MD
License #43t.605 I I 1 Lead Certificate #: r f 1 —3! (.D12'
Contact: rs"
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Phone:
Fire Suppression Contractor: Phone:
Sewer & Water Contractor:
ed to; be
c reasc
cre
tons
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minneso - , tate Building Code must be completed within 180
days of permit issuance.
x t?hn. 6ouaer
Applicant's Printed Name
Pp
ant's Signature
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