1426 Kings Wood Rd
Cfertificate of Cccupanc4
Critv of Cfagatt
?o"tment a? ??? ???oft*"
T'his Certt'ficate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of essuance this srructure was in compliance wirh the various
ordinartces of the City regulating building construction or use. For the fallowing:
?/?t
u? ci?;?c;oo: ? Bia$. reFFnit No. 12227
Oc-P-eY T5'Pe M M?? Zooing District Address Typ?Co s °
Owoer of Building ? navi? ,
> >
. ? B " Addre.ss Lacality
??, 12/29/92
Date:
Buildiog Official
? POST IN A CONSPICUOUS PLACE
?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
' SITE ADDRESS: i 07 : a
y 1ezc, ? INGS aaOo Ra
, KTNtiS 4lilllD ,?.pD
PER??T Rly?BTYPE:
ECORD
PERMlT TYPE:
Permit ?lumber:
Date Issued:
APPLICANT:
c?.ARzN
(.el2) 65?1-86k?A
TYPE OF WORK:
Control No. 0914.
aU.I LDiM4
ett2?1
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aEu
fOQTIN?. p?RAM?NQ
,- iM+#!t A1 II?N FIly1?l
fIREF?LA[t: ?
RFMAR1f8 r REC1?IP'f # Si'.1d Iat_BR *PpV
.
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INSPECTION R
?
Pormn No. Permtt Holder Drts hfephone?t
S/W '
PLUMBING
HVAC
ELECTRiC
ELECTRIC
Inapectlon Date Inap. Commbnts
FooEf? i 'r-7
Foundatiort
Framing
RnoHn9
Rough Pibg.
Rcwgh Htg.
l
Isul.
/
Flreplace ?
Final Hle. 2 2 _
Orsat Test
Finel Pfbg. Plbg. lnspector - Notify Pfumbar
Coaist. Msler
Engrlplan
Bldg. Final 212
Deck Ftg.
Deck Final
Well
Pr. Disp.
r-/c /i
?.s
? <
a?61
-HOUSE HEATIN16`TEST. RECORD
ADDRESS ?e ?i1? S°'7t1?f30X APT.-FLOOR 'CITY SUBl1R8c?p112'/14-)
OCCUPANT OWNER HEAT LO55 DATE NTG. INST.
SOLD BY
Electricol Work By
TYPE OF HEAT
INSTALLED BY
Gas Lins, Br
GA_FA-MW _STEAM SPACE HTR. _UNIT HTR. -OTHER
1 .t- GAS DESIGN CONVERSION
MAKE '• MAKE OF BURNER
Model Model
sari a1 3tdse?-i/19 0 Max. sru Ratinq •?`{s?t?'? ?..?t ?'.
INPUT MAKE OF FURNACE
Abdel
-?ONTROLS
r ' ? ??.._? Z !!
?i
THERMO?S'T1Ap
Valve ,
Limif T77
Limit Sstting
Fon Sattin9-
Filrors Size
Chimney LocaTion
'tOY J[lR-'te:t?C'? f'=
Pilot Type , Chimnsy Conshudion
Pilot Make ?
Pilot Modsl ? Z_,Smoke Bomb
Pilot Timing .
L.W. Cu+ Dff
Prassura ?- d Porcent C02
rP ? •
Input CFHPeresnt OZ y1?
Staek Temp. Paresnt CO e
?
Form 235 ?
Pluy Vent Sizs
KIND OF LINER 3 SIZE NONE
Wofi Hood
Draft
Door
Ropulomr _
Numbsr_
Insids Ov
Wirin9 -
Tssf Tap-
Liqhtinq Inst.
Oate Tsitsd
Company Tas '
Name of Tasf ?? ??
?/(S/9?-- REQUEST FOR ELECTRICAL INSPECTION ee.ooom.os
? Sae inslmn`kons for co?Ypleung this lotm on back of yellow capy i/Q
? 17667 X" Below Work Covered by This Reques!
ew Adtl Rep. TypeoFBuiltling ApplianceSWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Eleciric Heanng
Apt Bwlding Dryer O[her-(Specity)
Comm./Industrial Furnace
Farm Air Conditioner
Other(syecdy) Controctor's Remarks
Compute Inspection Fee Below:
fi Other Fee # ServiceEntranceSize Fee F GircuitsiFeeders Fee
Swimming Pool 0 to 200 Amps /?f,00 0 to 100 Amps pp
Trensfarmers Above 200 _ Amps Abova 100 _ Amps
Si9pS Inspecror5 Use Only', Q TOT
IrriqationBooms
Speciai Inspection
Alarm/Communication THIS INSTALlAT10N MAY ORDERE DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN NTH . ?
1, the Electrical Inspector, hereby Rough-in Date
certiry that the above inspection has
been made. Final ? oaia
OFFICE USE ONLY r
ThiS reQUest voitl 18 months Imm
Addmss: Lot $ Blk I Sec/Sub KIWS yM Zp
These items were/were not complete at the time of tha f1na1 inspaction.
Date: ] 29 92 Yas No Tnqppctnr, I-e,(4
Final grade (6" from siding) v
Permanent steps - gaxage ?
Permanent stepa - main entry ?
Permanent drlvaway ?
Permanent gas ?
Sod/seeded grass i?
Trail/curb damaga i./
Porch ?
Basement finiah ?
Deck ?
Please verify vith the builder the removal of roof tese caps from the plumbing
syscem and the shut-off of vatar supply to the outside lavn faucat before
freeze potential exists. &
.?o.?
White - City copy Yellow - Resident copy PSnk - Contractor copy
d
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7
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017 /
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PeQUest Dete
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` C F Na Roui Inspection
pwreGv , /
O Raady N. B9?ill NoMy Inspector
n B
atl
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I licensed contractor rJ owner hereby request mspection of a6ove electrical work at -
,bb Address (SireM Box or Route No i
41.2 6 /l/n s WeaJ( "%c(, City
?a an_
Secoon No TownsM1ip me or No Range No County
tla ko7_4k
OccupantlPPINTI
G
/d 4- 7"
6*X C
n Phone No
??67- oo ?l
eRQ
1,0
L a
Pawer Suppligr
Daii{`mta Rl Crk1G Atldress
4730v 2zo1'?Sr? i? Ton ,f.Ss
Elecn'ca/lGOnVacrorlGOmpany Namel
Contratlor§ L¢ense o
`?
ShIF BCT G /?G C bD/
/Z
Maihng Atltl ss IContrana or Uvner Makiny InstallaLOn)
2s i y
1
A=Vaclorepwner Making Instal lion) Phone Number
?D?SOZS?
MINNES A STATE BOAflD OF ELECTRICIT? ?• THIS INSPECTION FEOUEST WILL NOT
Griggs- Itlwey Bldg - Noom S173 8E ACCEPTED BY TNE STATE 90AR0
1BPi UnWetnily Ave., St. Peul. MN 55106 UNLESS PROPER INSPECiION FEE IS
Fhone (612) 642-0800 ENCIOSED.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PlLOT KNOB RD, EACAN MN 55122
651-681-4675
.
New Construction ReuuiremenM
. 3 registered site surveys showng sq. ft. of IoL sq. ft. of housel and all roofed areas
(20% maximum lot coverage allowed)
• 2 cropies ot plan showing beam 8 window s¢es; poured found desgn, eta)
• 1 set of Energy Cakulations
• 3 copies of Tree Preservation Plan if lot platted after 711193
. Run Joist DeWd Oplions seledion sheet (61dgs with 3 ar less units)
DATE ?/ ?
SITE ADC
TYPE OF
IULTI-FAMILYBLDG _Y 42
FIREPLACE(S) _ 0_ 1_ 2 L
APPLICANT ?-/1?.O i?O? !
STREETADDRE3511g?/ /17?'A" CITY a'zDy79 STATE?^?ZIP S"S
TELEPHONE # Z6?g-?'Z ??- CELL PHONE # ?aes?L FAX #
PROPERTYOWNER oi?? 1 L,61-7s TELEPHONE#}0-9 -II
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNES01':1 RLJLES 7670 CA"I'EGORY i
(q su6mission type) . Residenlial Vendlatlon Category 1 Worksheet Submitted
. Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
Mechanical system includcs:
Sewer/Water Coniractor:
_ Air Conditioning
Hc;al Recovcry Systcm
Phone #
Phone #
P'ce: $70.00
I hereby acknowledge ihat I have read this application, state that the info tion i orrect, ond agree to comply
with all appiicable State of Minnesota Statutes and City of Eagan Or in
Slgnature ot Applica
OFFICE USE ONLY
Water Softener
Water Heater
No. of 13alhs
Plione # I+
Lawn Sprinkler ?
No. of R.I. Baths
RemodellReoair Reauirements
• 2 copies of plan
• 1 set of Eneryy Calculalions for heated addAions
• 1 site survey for exterior additions 8 decks
. Indicate if home served 6y sephc system for addihons
VALUATION ??S 77
P
Auc z 7 2002
Certificafes of Survey Received - Tree Preservation Plan Received , Not Required _
Updated 4102
OFFICE USE ONLY
? 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 (screened) ? 36 Multl
? 05 03-plex ? 11 70-plex ? 19 Lower Level ? 24 Storm Damage
? 06 Dd-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Impravement ? 38 Demolish (Intenor) Q 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundatlon) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/OOOrs
? 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 Bidgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) ? FinallC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addirion) _ Plumbing
Foundation
? HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs ^ Air/Gas Tests _ Final
_ 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
Water Supply & Storage
S&W Permit & Surcharge
Treatment Piant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
ToW(
Building Inspector
CLA[M VOUCHER - REFUND REQUEST
CITY OF EAGAN
MAKE CHECK PAYABLE TO: ROOF CO N.A. INC.
6364 JUNEAU LANE
MAPLE GROVE MN 55311
LOCATION: 1426 HINGS WOOD RD
RECEIPT #/DATE: 33838 8/29102
REASON FOR REFUND: NOT AWARDED JOB PERMIT #: 54909
VALUATION: $9,000
TYPE OF REFUND:
Plumbing Permit 9001. 4087 $
Mechanical Pernvt 9001. 4088 $
Building Pernrit Fee 9001. 4085 $ 167.25
• Plan Review Fee 9001. 4222 $
SAC (MC/WS) 9220. 2275 $
SAC (City) 9379. 4681 $
SAC (Admin) 9001. 4246 $
Water Connection 9220 3865 $
Sewer Permit 9220. 4532 $
WaterPeimit 9220. 4507 $
Account Deposit 9220. 2252 $
WaterMeter 9220. 4509 $
Water Treahnent 9220. 4685 $
Surchazge 9001 2195 $
Overpayment 9001. 2250 $
Curb Box Deposit Refund 9220 2253 $
Construction Meter Dep Refund 9220 2254 $
Other $
TOTAL $ 167.25
I declare under the penalties of law that this account, claun, or demand is j ust and that no part of it has been paid.
G;??.c,? 9/13/02
SIGNATiJRE DATE
A11"dtVoFaagan
PATRICIA E. AWADA
Mayor
PAUL BAKKEN
PEGGYCAAISON September 13, 2002
CYNDEE FIELDS
MEG TILLEY
Cowcil Mem6en ROOF CO N A INC
6364 JUNEAU LANE
THOMAS HEDGFS MAPLE GROVE MN 55311
C'ryAd"""""a`°` I RE: REFUND OF BUILDING PERMTT 54909
TO WHOM IT MAY CONCERN:
Municipal Cencer. pn August 29, 2002, a permit to re-roof the residence at 1426 Kings Wood Road was issued to
3830 Piloc Knob Road Roof Co N.A. Inc. Qn that same date, a permit for this work was issued to Lindstrom's, as well.
Eagan, MN 55122-1897 The property owner has advised us that your company will not be domg the work and we are,
therefore, refunding $16Z25 to you under separate cover. We are unabie to refund the $4.50 state
Phone: 651.681.4600 surcharge that was collected.
Fax: 651.681.4612
This letter is also meant to advise you that effective January 1, 2001, the City of Eagan's Fee
TDD: 651.454.8535 Schedule assesses a$50.00 fee to refund permits that have been processed and receipted. As a
courtesy, we are informing conhactors of this policy and issuing a full refund, minus the state
Mammnance Eacility: surcharge, for a cancelled permit on a"one time only" basis.
3501 Coachman Poinc If you have any questions, please feel free to give me a call at 651-681-4695.
Eagan, MN 55122
Phone:651.681.4300 SiriCCIC?y,
Fax: 651.681.4360 ? ?
TDD: CSI 454.8535 n Severson
Office Supervisor
vrww.ciryofeagan.com I cc: Dale Schoeppner, Chief Building Official
THELONEOAKTREE
Tlu,rymbol uFscrengdi
and Srawdi in uur
mmmumry
?f?l o z
0.4..«.?k.c?? 3
RESIDENTIAL
BUILDING PERMIT APPLICATION ?
n Cf CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 r
r 851-681•4675
? 1aq1o 2 ctz?
New Construction Reawrements -a- 3-m ?v RemodellReoair Reuwremants
• 3 registered srte surveys showmg sp %. of ioL sa R of house: and all rooka areas • 2 copi&s of plan
(20°1o maximum Io1 cove2ge allowed) • 1 set of Energy Caiculatrons (or nealed adaitians
• 2 copies ol plan shawing beam SwuMOw;rzes, poured found tlesign, elc.) • 1 sde survey for axtenor additwns 8 decks
• 1 set of Energy Calculations • Indicate d home served by septic system for adOdions
. 1 copies of Tree Preservahon °lan if bt platted aRer 711193
. Rim Jorst Detail Optioiu ;%WWn sheet (tlags wdh 3 or less umts)
DATE VALUATION
SITE ADDRESS f `l ? ? ?1/I (? S ?10 ? ? • MULTI-FAMILY BIDG _ Y _ N
TYPE Of WORK ?'G^z--- 2-12- m FIREPLACE(S) _ 0_ 1_ 2
APPLICANT f J!4_ \1_ G .
STREET ADDRESS C 0'S t3'-I J?nc.;
TELEPHONE # _7CP'3-S5_0•bWCELL
PROPERTY OWNER
Energy Code Category
(J su6mission type)
COMPLETE FOR "
_ \IIti\r:S0"1'.1RtiLFS
. Residen6al Ventilation
• Energy Envelope C up
Plumbing Contractor: ____
Ptumbing system includcs:
Mechanical Contractor:
Mcch.mic.d svslc111 includc,:
Sewer/Water Contractor:
Phone #
AUG 2 8 2002
'" Fee: $90.00
P'cc: y70.00
I hereby acknowledge that I have read this application, state that the information is correct, ond agree to comply
with al1 applfcable State of Minnesota Statutes and City oi Eagan Ordinances. ?
Signofure of Applicant
OFFICE USE ONLY
VVatcr SoCtencr
Water Heater
No. oF 13aklis
Pl1 Rl` 'r?
L,acm Sp nklcr
No. of'R. . Baths
Phone #
-- :\ir Coudiuoning
-- HcaL Rccovcr} Systcm
b?-
RE51
CITY STATE/fZRI. ZIP 5-r31/
F # ?(?3-S??-ra98
TELE ONE #
0 C_ti3 YL?
AL BUILDINGS ONLY ?
C:1'1'I:GOR
y 1 Worksheet S mittetl •
Submitted
Certificates of Survey Received - Tree Preservation Plan Received - Not Required _
Updated 4/02
OFFICE USE ONLY --
? Ot Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot 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 (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Intenor) ? 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 'Demolitian (Entire 81dg oniy) - 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 Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED IN SPECTIONS
_ Footings (new bidg) FinaVC.O.
_ Footings (deck) FinaUNo C.O.
_ Foorings (addition) _ plumbing
_ Foundarion HVAC
_ Drain Tile Other
Roof _ Ice & Water _ F inal _ Pool _ Ftgs _ Ait/Gas Tests -Final
_ FranunS _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Fuial Wmdows (new/replacement)
_ Insulation _
_ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
92389
5300 S. Hwy. No. 101
Gerald
SUKVEYINU & ENGINEERING CO.
Minnetonka, MN 55345 Phoce (612) 474 7964 Fau (612) 474 8267
SURVEY FOR: GERALD CLARIN
SURVEYED: August 4, 199'L
DRaFi'ED: August 5, 1992
LEGAL DESCRIPTION:
Lot 8, Block 1, KINGSWOOD SECOND ADDITION, Dakota County, Minnesota.
NOTES:
Top of Foundation 894.5
First Floor 895.5
Lowest Floor 886.3
Benchmark Elevation 887.9
Benchmark description: Top of manhole as shown
LIMITAT[ONS:
We have survcyed the above pmperty which the client daims to own from various oovemment rerords. We make no
representa[ion that the clien[ does m[ac[ own the proper[y F/frtha[ a search oC records has bcen made to de[ermme the ex[en[
and nature of his holdings. If [here is any doub[ wnceming the accuracy of the legal descnption, mmpe[en[ tegal counsel
should be ro[ained [o perform a fitle search and iuue a[i[le opinion Cor our uu in prepadng the survey. We show only [hose
eaxments which the clien[ mforms us of or which we happen to be aware of [hrough other sources. 7'he survey shows only
[hcne improvements which are visible and which we deem importan[.
STANDARD SYMBOLS & CONVENTIONS7
The symbol "o" un the drawing deno[es a half inch, inside diameter, galvanized s[eel pipe abou[ 14 mches long fi[[ed with a
piastic plug beanng 5[a[e Lirense Number 9735 or 10535, se[, usually flush wi[h the ground sueface. A filled "o" symbol
denotrs a found stcel monumen[ which are of[en below the gmund surface.
"9820" denotes the elevation of an existing suRace. q boz around an eievation demtes the elevation that a proposed sudace is
[o be mns[ructed to. Solid contour Iina indica[e ecisting surface shapeswhile dashed lines indiea[e propOSed suRaces.
CERTIFICATION:
I hereby certify that this survey was prepared by me or under my direct supervision and that I am a
duly Regis[ered Land Su er the Laws of the State of Minnesota.
\ James H. Parker, President
Minnesota License No. 9235
SCALE ONE INCH EQUAIS ZO FEET
BENCHMARK
MANHOLE
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INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued
(612) 681-4675
SITEADDRESS: APPLICANT:
L07: s BLOCK: 1
1426 KIN6S WOOD RD CLARIN
KINGS WOOD 2ND (612) 633-9680
PERMIT SUBTYPE:
SF DWG
TYPE OF WORK:
Control No. 0914
BUILDING
001227
@8/07/92
GERALD
NEW
INSPECTION
FOOTING D. .
FRAMING D.
INSULATION FINAL
FIREPLACE
REMARKS: RECEIPT 8
F
S&W PLBR s
_ P.RV.,,.,.,:,?r.
-7
?C CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number.
Date Issued:
1426 KZNGS W000 RD
LOT: 8 BLOCK: 1
KIN6S WOOD 2ND
BUIlDIN6
001227
08J07/92
DESCRIPTION:
4
Building Permit Type SF OWG
Building"Work Type NEW
UBC Occupancy R-3 M-1
Constructian Type VN
? Zoning --- R-1
8uilding Length ' 70
8uild3na Width _ 50
s\\i
?
REMARKS:
,.,....,RECEIPT..NCC' AS&W PLBR = __ . PRV._. ?..,.
FEE SUMMARY:
Base Fee
Plan Review
surcharqe
SAC
SAC 8
SAC Units
Subtotal
. ..YALUATION. _ _$190.000.. . ,.....
$954.50 pIISC _FEES 41.630.50
E620.43 Total Fee. .$3,980.43
$95.00
$700.89
100
$2,369.93
CONTRACTOR: OWNER: - APPlicant -
CLARIN 6ERALD
3302 AIDEN POND LN
EAGAN MN 55121
(612)633-9680
_ i hereby acknowledge that I have read this applicaCion and state Chet the
information is correct and egree to comply with all applicable State of Mn.
Statutes and Cit of Eagan Ordinances.
?.at?? ? o? ? rn .?_
PLICANTlPERMITEE NATURE ISSUED Y SIGNA UR
Control No. 0914
PERMIT #
REACTIVATE
cinr oF EaGarv ?_ 3`? 6co aq3
1992 BUILDING PERMIT APPLICATION
681-4675
C.J? 9` ?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structura7 plans, 1 set of
specifications, 1 copy of energy caics.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made r lot chan e is re uested once ermit is issued.
Date Valuation of work
iteAddress: 1`!2<0 /?i?r s:Joor .4 1
STREET SUfiE M
Tenant Name: (commercial only)
LOx S? sLOCK _L, svBD. ?? S?eap ? P.I.D. N
Descri tion af work: 5.r= be'-) G
The applicant is: ? Owner 0 Contractor ? OCIIQP (Deacribe)
Name C G- sa 2,v1 Ge_?'f A t-? Phone d Sl )-DD'? 1
Property LAST FIRST
4. 3 3 -? ?6 Y49
Owner
Address 33o'Z ? ? Dt?1
''?' '?'??
57REET STE M
City E- k 6 A-I,- State Zip S S 1 Z ?
Company 5,9-in 6- A s q B.0 LIE Phone
CORtf8Ct0r Address License # Exp.
City State Zip
Company I,a n.t I n y -+ „F
_?.
r g v\ 'r r? G Phone
Architect/ _
_
Engineer Name Registration #
Address
City State Zip
Sewer b water licensed plumber . Processing time for
sewer 3 water permits is two days ance area has een approved.
I hereby acknowledge that I have read this application and state Lhat the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Appl icant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dw9.
? 03 SF Addition
0 04 SF Porch
O 05 SF Misc.
WORK TYPE
N? 31 New
? 32 Addition
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
? 33 Alterations
O 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Plannirig
Engineering
? 11 Apt./Lodging
? 12 Multi. Misc.
C113 Garage/Accessory
? 14 Fireplace
O 15 Deck
? 35 Tenant Finish
? 36 Move
V-N Basement sq. ft.
v-N lst Fl. sq. ft.
R_3 M_i 2nd F1. sq. ft.
R-l Sq. Ft, total
Footprint Sq. ft.
Fo On-site well
50, On-site sewage
REGIUIRED INSPECTIONS
O 5ite
? Nallboard
Building
Variance
.
? Footing
? Final
? Framing
? Draintile
11 Insulation
? Fireplace
Permit Fee v.i,,,ti«,: g
Surcharge
Plan Review ? iLxzZ= Zby
SZg
License ;?yXZz=
y X ?-- (2 W)
Mwcc sac
c;ty sac
7(6q xr r 12 z2y
gSMT',
r
Water Conn. 32? yg;. 1??
Water Meter
Acct. Deposit
S/W Permit
S/M Surcharge
Treatment P1. Z?
Road Unit ? LI37 XiS- ZI
yKo
Park Ded. ?
.
Traiis Ded. ?sT Fc.002
Capies
Other l8y?t A53= 9-79q'l
Total:
SAC %
SAC Units ?
/097?-r 53= S$)yl
__-.-?-
l$9 ?N2
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
O 19 Comm./Ind. Misc.
O 20 Public Facility
0 21 Miscellaneous
? 37 Demolish
MWCC System
City Water YES
PRV Required Ylf 5
Booster PumP
Fire Sprinkler
Census Code ?
SAC Code ?L
Assessments
' • . . ... ? '' ' \
COMM. hl0.
Fianninq Design Inc.
ibil Highway 10 N.E.
Minneapolis; MN 55432
6 i 2-780-1920 Minneaota State Energy Code Calculations
Based on Chapter 5 of the Model Energy Code
1983 Edition -- Adapted 1/1184
qzo3q-7
Gwner-: RLAN OF THE MOIVTH COMM. NQ:
Site Rddress:
L'ontractor: Phone:
Pldg. Class: A1 A1 for Single FamilylDuple>;
A2, residential A 3 stories
Qver 3 stories
Other "
GENERAL INFORMA7ION
Note: The section designations ("Section A", "Section B" etc.) are for
convenience in calculations anly, and are not related from one set of
calculation= 6elow to the ne:;t.
1. Pldq. iJalls 1='erimeter ., tdrill heiqhts, = Hrea
ground to eave
Section A ; 78 26.33 = 1585.74
Section B : 75 19.33 - 1449.75
Section C : 0 +? = O
Section D: 0 t? = O
Gross Wall Area = 3035.49
;-'.. Huilding dimensions Flaor or
Ceiling
Lenqth ;: 4didth = Area
bection A : 40 31 2 = 126u
Section Ft : 37 ai = 777
Sectian C : ia n
Secti on D. 0 ?J = 0
7ota1 +loor Gr ceil inq area - 205:'
tiim juist F'crimeier = 7?,_,
Flaor- joist 2 by (8", 10"y 12° or 16"}: ?
Rim Jaist Area = 127.5
4. Doors
ArEa: 49.9 Thic{:nes<_:, !.-in,r_he-!:
+-'cr-i mett_r (feet): .
i;:+:a t'J'Y const.ructiun:
. ."F 'I ,it7Li' .9 PE't-lmc''F- f ,
...k93 ftLiL3l•7S
Manufacturer: U factor: 0.52
State approved: YES
Type Height .. Lenyth .. Number = 7ota1
(inches) ' (Inches) ?f qlass SqFt
unifs
bASEMENT UNIT 14 27 4 10.5
CASEMENT 36 20 4 20
CASEiWEN7 42 2+? 4 23.33
CASEMENT 60 20 15 125
CASEINENT 36 24 3 18
CASEMENT 48 24 9 72
CASEMENT 60 24 3 3 0
G 0 0 O
p 0 U U
0 U ci tl
0 0 U G
' 0 0 0 0
U C) U G
Type
B. f'atio Uoor:
.. Atrium:
it?. Fireplace area
tdidth:
Total Sq f=t =
il. E;:posed Foundation
Height area A:
Sq Ft area A =
E:;posed Foundation
Heiqht area P:
Sq Ft area H =
Gross wall area
mi nus
l=Jindow area
f-atio dooi- area
:1triurn area
iCIisi area
Door area
Fireplace area
E>;pased F'aund.
? F=raminq area
t?,0 Q.. i ..
7. Window GIc155 area (SqFt) =
Height x Length x Number
(feet) (fEet) units
cl 0 0
_ +-
6.85
U Height.
p
0.67 Perimeter area A:
144.72
U F'erimeter area P:
ij
SqFt U factor
-.UT5.49
298.83 C;. S^<
ii ,
41.1. 1-!`.J ' ` - •--
49.8 ?.1=+
(1 ii
144.72 cl. 14
?'fa?.549
<98.83
= Total
SqFt
ii
41.1
216
0
Ll ;: A
iJJ. ?Q.
7 8. 08
t ,.: ,. A J
6.47
S)
2ci. 26
:9.U4
. , >? . ?;. . .
Totals for gross wali area; 330.66
? Framing area is 10% of gross wall area
13. C,ross wall area >; factor below = U:: A per code
Factor is .11 for A-1 singl'e family ya duple::
.23 for A-2 and other residential
.23 for other buildings
.28 far over 3 staries
Factor is: 0.11
HTUH = 333.9039 MUST PE :% OR = 330.66
(calculated above)
14. C,ross cei 1 i ng area = 2057
15. Ceiling framxng ar ea (10% of ceiling area) = 205•7
ib. Joist Area (10% of ceiling area) _ 205•7
17. Net ceiling area ( Gross ceil, area -.Ioist area) = 1851.3
18. U ceiling: 0.021 :. Net ceil. area _ 38.5773
19. U framing: 0.024 ;, .7oist area = 4.9368
20, Total of item 18 .: item 19 = 43.8141
21. Gross ceiling area x factor below = l.l x A per code
Factor is .026 for A-i single family °< duple%:
.033 ior A-i and other` residential
.06 for other buildinys
F'actor is: 0.026
EsTUii = 53. 482 MUST BE ? OR = 43.8141
(calculated above)
HALL
SECiION
V';itiLU[ bNll.UlfSS IUU.? . .
R-VALUE U YALUE
tntid• •le tllm .68
[Hterlvt vit(t
[nsalatl.,n I ?
-10 Ob
SiUD
sacrton
Sheethln3 Z ?y?
Outolde alr [L(m
R tOiAL
Instde att !(lm ,68
Intetlar xall ,?}S
k ' seua R¦ R:?! b1s0 (fremins) U . ?.
Sheathlnd .
?Kyrp
Std(ns ? r
,6'1
vatelde Aklr [llm ,17 ?
R tUtAL (jZL.5
1ND NALL
SEClLoN
In.ld
e alr Ellm Rm ,68
Intet(ot vall
[nsvlaUoa
Sheathlaa
Eatetlot ra(l eorerlae
Exeerlor alr Ellm R ..l)
(Nik11 ZU . ? .
A iOiAL
p?.?-.?3 tntetloe ale [!Lm Rm .68
at" ?-h (', [?eulatlon ??,no
Jtlt3T ty lneh eoft wuod R=1.88 (Alm ? '
I Jo??c) ? ' a •
sheachtnd 'Z•?
? Exte?lor wetl eosetlng ?G
E:cterlot alr [llm Ft, ,17
` R ?OtAL 'Z!} 1(0 •
?
t-
,
Inteflor e1t (!lm R4 .69
lnsulatlon ??Ob
Foundatlon
Extertoc •ir [llm R= .11 (Fdn.? U ¦ a •
R iotnL
Lt?
led 9lvek
. • . • . Fl?i?l;lu . : CEllllt? . .
0.61 Alr Film ?V.6)
? - jG.uV tn?ulatlun qq.uU •
. ? 4.3u Jolit ?
- -1-. _ "'??? . ' .•56 Cell lnq •<= .5G
--------------
0.61 Alr f11m U.6t
?! 41 •55 tvcal a
• ? 45•'tt!
. ' • ?VC? U ? ? ' •ULn?
nonr un .c.1111EUM1. GElLIf10 . I .
n .rntuF .
Fp.HIl110 iElllild
•_? S•r?J-.[_
- -- - --i? tl.61 IntlJn_ alr fllm 11.61
, _.....____.;
• Cell l??
• Jol?t ?iEiia?
• (nsulatlan
• Alr fptce
• (lnof d?cklnq
• • InSolallon
e?? ( ? c-?p rdor
. 11.-0 Outslde elr film u,i7?
(ota! R ?•U
- -----------
H I?+flltratlnn .5 cfm/11neal ftjnt nr crack • ?
rrnti,,? du?„? ?nrllc?aclnn 9.5 C(m/viq,Itp fnctt ?jr donr And minlmum cnJe re?ulrpmen!
esldentlal dnvr Infiltrellnn 11.0 ctm/ilneal /vvt uf creck
2" evnr,ret(v felnck nu I111vhtlon +,.41 II 2.1 Z" canr.retn_ hlor.k insulated corsf *.28 n1,g
IIgIit:+elvitt hlnr.k • .32 n 1.1
• .
I IghFifglllit bluck (nlulated cures +.IZ R 8.J qlas3 ? 1.131 Nlttt storm,ulnJow .54 '
,IR gi,to9 + .Si . .
ile gtass • .41 :
terlur x'1119 'Irid GaIIIfty I mii9t Iiare a r?phr ti,?rrlcr (U.IU petM mex.).
b?rrlr_?- mast be nn thc In71de lheatEd fldn? ef vnll.
barrieri af the putyetlielene tltin /Ilm harR na 11 relvA.
'
z
n789aVn cman aerow
u '
m; YINGINESRING CO.
w? I mocw«r.tt.Ia wm.mMMsfxs PM1Q(GI2)4M]9N faP4rnan
SURVEY FOR: GERALD CLARIN
SURVEY6D: ?gujt 4,1992
DBAFIPp; .Augvet 5, 1993 ,
LEAALDHB@IP'17ONe
? IDM elwx 1, ¢waswnoaSEcorro nnoerIov, nune cany, nnnar,ou.
NPTPS:
. Top oE poundation ss4.e
Firat 83onr g9a,g
nowoee vioez 006.3
Benchmazk Slevatioa 809.0
'
9enahmerk deacrlption: Top oi nanhola ae ehowa
LIMfPAT10N8:
N'a M1ow gBmryW ft xbce yM" Mleh dh Nmt clei. u wn hae vuWS M??? ?awJ?. Wa mH m
?inbn Mi NcMV Eaa a bn mm Nv pqpry4t"" oetof?mN? ?u Mw meGe mdemnlmYxarm
endenneINnY4WWM? V6mos?y?uWmu?n:o?llemadeTCIFRbVIEx?P?^^eRa?bWawW
J?rWEsniWrpmpertpnaiXleemqoMMeeatlilcupeWbovvebpepthq?lainrv.y. RbMewdynor
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IM1eec i.aprasmwkKdei?rovMYN?itlM?wnemfni0f??tl.
STANDARD SYAi8f1[S @ CON V Rd'Ii0
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N
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?
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ro
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G11I V! LA?? !VX V11I UDL VtVLi
. 3830 PIIAT RNOB ROAD
EAGAN, MN 55122 PERMIT k
PHONE: (612) 454-8100 RECEIPT
AiG-;3!E?;? „,
npq,Z .:: :. :,,..>,.? _. ..,..m DATE:
IDFNIIAT:2:; PLEASE COMPLETE IIPPER PORTION ONLY FOR SZNGLE FAMILY DWELLINGS &
? ....,. ...... _ _. .. ., ......
TOWNHOMES/CONDOS WEiEN PERMITS ARE REQIIIRED FOR EACH UNIT.
________________________ __________________________________°-----------_______---
UORK DESCRIPTION COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
NEW CONST ? ADD-ON.MINIMUM 15.00
ADD ON SHOWER 3.00 Moo
REPAIR WATER CIASET 3.00 BaTH TUB 3.00 LAVATORY 3.00
OWNER NAME: 1p,IJNDRY TRAY 3.00 3•?D
SITE ADDRESS: A?? /I//17?1CLL/J? HOT TUB/SPA 3.00
WATER HEATER 3.00 it)a
LOT: 0 BIACK _,L_ SUBD. FIAOR DRAIN 3.00 ?YnD
? GAS PIPING OUT.
INSTALLER: ? (HINIMLiM - 1) 3.00 /a.OD
p ROUGH OPENINGS 1.50 ?L00
ADDRESS : L?/J?/ OTHER
WATER SOFTENER 5.00
CITY:? ? ZIP: PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
PHONE #: ?CS'?-?EIO?
SUBTOTAL S
ee- ST. SURCHARGE .50
SIG fURE OF PERMITTEE
? 9Sd
TOTAL: $
rT3i9MERGIA1:fiNDIISTBiAI„'. PLEASE COMPLETE THZS PORTION FOR ALL CO1gIERCIAL/INDUSTRIAL BIIZLDINGS AND
__ . . .. ..... _. ,<
MULTZ-FAMILY SUILDINGS iiHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAt1E:
SITE ADDRESS:
IAT: BI.OCK _ SUBD.
IN5TALLER:
ADDRESS:
CIT1': ZIP:
PHONE
FOR: ?
CITY OF EAGAN
FEES
18 OF CONTRACT FEE.
9TATE SllRCHARGE - $.SO FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRAC? PRICE x 18 $
STATE SURCHARGE $
TOTAL:
$
(SIGNATUAE)
CTI"Y OF EAGAN
L 8' B / 0 MECHANICAL PERMIT RECEIPT #/D
SUBD. Gt/ ? (612) 6814675 DATE -?/
RESIDENTIAL
PLEASE COMPLEfE UPPER PORTION ONLY FOR SINGLE FAhIILY DR'ELLINGS. AISO, COMPLEI'E FOR
TOR'NHOMES/CONDOS R'HEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT.
a- A -%2
OWNER: FM
STl'E DRFSS:
? G ADD ON/REMODEL (E)IISTING 6
CONSTRUCI'ION ONLI) $ 15.00
AVAC: 0-100 M BTU 24.00
INSTALLER z( &-xl / '?' ADDTfIONAL 50 M BTU 6.00
ADDRESS: ? GAS OUTLETS - MINIlbiUM 1@ $3 EA.
CTfY: ZIP:? `J SURCIIARGE $ .50
SIGNATU . TOTAL: $
?
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIeWINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NIOT REQUIRED FOR
EACH DWELLING UHIT.
WORK DFSCRIPTION: CONTRACT PRICE:
1% OF CONTRACT FEE. FEES
STATE SURCHARGE IS $.50 FOR EACH
$1,000 OF PERMTf FEE.
$
PROCFSSED PIPING - $25•00
MIWIMUM FEE • $25.00
$
OR'NER: TOTAL: $
5T1'E ADDRESS:
1'ENANT:
SUTTE
IlVSTAI.I.ER:
ADDRFSS:
CTPY: ZIP:
PHONE #: CTfY SIGNATURE:
SIGNATURE:
********?****************?***?*********
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 794
DATE: 04/06/00 TIME: 10:26:31
ID:
NAME:
3210 9001
3430 9001
2155 9001
DAVID NORD
1426 KINGS WD R 60.00
1426 KINGS WD R 5.00
1426 KINGS WD R 0.50
Total Receipt Amount: 65.50
CR125642
USER ID: JAN
??*???****+******************?**???****
4 4a;Z5b
2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
851•681-4875
menh
New ConshucHon Reauire
n 9 reylsfered Yfe wneya ahowiny aq. M, of loi, aq. 8. of house
antl gfl roofed areas (70X mmcimum lot covemae allowed)
> 2 coples of plans (show beam 8 wlntlow Yzea: poured hd design; etc.)
> 1 sel of energy calculatlons
> J coples of hee preaervaMOn pWn N lof platted olter 7/1/93
DAiE:
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: S
PROPERTY
OWNER
BLOCK: I SUBD./P.I.D. #:
614I LCY' Phone
taat Fin?
Sheet
?
Called 415/00
RemoC61/ReoalrReaulremeMt Calitd en 1icrnSt
2 coples of plan int-O. 4I4
1 Eet W eneryy calculaHOns for heafed addlHOns
1 site wrvey la exteAor addlHons A decks
CONSiRUCT10N C05i: 4 31, • U D
y
Ciiy ? 46ji:?Lj State: 41 /J- Zip: Z :2--
ComPany.DOl/?D P14- IJOYZD Phone*: 6SI S---
(area code)
CONTRACTOR /
SheetAddress: )-2VD CAWC-,Q llcense? ILLL-
Ciy '!JT- - P14'u-L- State: /ylN Zlp:
ARCHITECT/
ENGINEER
Company:,
Telephone If: (
Name:
Street Address: ReglshaHon #:
CNy
SMte:
Sewer/water licensed plumber (if installina sewer/water): Phone #
Zip:
I hereby acknowledge ihat I have read Mis applicatbn, state thaf ihe info n B correct, a gr e to c m ly wilh pappAcable State
of Minnesota Sfatutes and Ciy o} Eagan Ordinances. ? /
Stgnafure of Applieant
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No AM ,. 4'
Tree Preservation Plan ReCeived _ Yes _ No _ Not Required ?V
oQ-?o ?lI(.l ?r-.S LJ B?l? rZ I?
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 OS-plex 0 13 16-plex ? 21 Poroh (3-sea.) ? 31 Ext Alt - Mutti
? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. Aft - SF
? 03 01 of _ plex O 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 04 02-plex ? 10 08-piex ? 19 Lower Level ? 24 Storm Damage
? OS 03-plex ? 17 10-plex Plbg Z[Yor_N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 31 New ? 36 Move Bidg. O 43 Reroof
? 32
:
' Addition ? 37 Demolish (Bldg)' ? 44 Siding
k 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code
No. of Units
No. of Buildings
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning ?
a i # of Stories
G Length
1 Width
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building IJG Engineering
sq.ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee 51 GU .SO Valuation:
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. O
Other ??hewAl ?15
Copies
Total:
SAC Units
% SAC
g 16 0?00
f CITY USE ONLY
L ? BL
sueo. kfkQ.s d 2 vl
RECEIPT #. o6 O
?
RECEIPT DATE: " 1` I 7-0
PERMIT1l q ON0/'
8000 PLUM$IN6 PERMiT IRESIDENThkL)
crrY oF $nW,rt
s$so eu.or xNOe sn
EA6AN, MN 551 EE
s5re8i-4e7s
Please comptiete for: D single famity dwellings
D townhomes and condos when permits are required for each unit
D backflow preventer for underground sprinklersystem
cecu
S
TOTAL
Alterations to existing dwelling - inimum fee?
Describe: a/d, ?e.? ?,?
$ 30.00
30
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in outlet ' minimum -1 3.00 X = $
Hot tubls a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $ ?
Se tic S stem newirefurd+sned • re uires MPC lie. 75.00 x = $
Se tic S Stem abandonmant 30.00 x = $
RPZ new installationlrepaidrebuild 30.00 X = $ ?
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Undef tounds rinkler ifdwellin is under construction 3.00 x = $
Under round s rinkler aexistin dwenin 30.00 x = $
Watercloset 3.00 x = $
Water heater 3.00 x = $
W ater softener if dwellin under construaion 5.00 x = $
Water soRener Hexistin awemn 30.00 x = $
Water turnaround
State Surchar e
Total 30.00
.50
-> x
_>
_>
---> $
$ .50
C?
$
Reminder: Caif for inspections of alterations, i.e. water heaters, water softeners, etc.
----..............•---------------------------------••••-•----------°--.....-•-----------...••-----•--------°....----------•----•-----..
I hereby acknowledge that I have reatl Nis applintion, shate that tne informatian is correct, and agree ta comply with all applicable City of Eagan ordinances.
It is the applipnPs responsibility lo notiy tha property ovmer that 1he Ciry of Eagan assumes no liahility for any damages caused by the City during Ifs normal
operaGonal and maintenance activities to ihe facilitles constructed under this Dertnit vnthin City propertylright-ot-wayleasement.
SITEADDRESS: lC/.?l & ,?
OWNER NAME: :
INSTALLER NAME:
`?? ELEPHONE #: f??L
- / (AREr+cooe)' `
,
TELEPHONE
STREET ADDRESS:`2525 Z -
CIn: T'r ti
ZIP,? -6?
SIGNATURE OF PERMITTEE
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
' 3830 Pilot Knob Road, Eagan MN 55122
(o ?'??03 Telephone # 651-675-5675 FAX # 651-675-5694 ?
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NewCOnstructionReauiremenfs
3 regislered site surveys showiig sq. ft M lof, sq. R of house; and all roofed areas
(200/o maximum lol caverage allowed) RemodellReoairReauirements
2 copies of plan
i set of Energy Calculations for heated addifions e
ry,,
2 copies of plan showing 6mm & window sizes; poured found design, etc i site survey for addifions & decks
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1 s e t o f E n e r g y C a l c u l a t b n s c sys
em
rf onsite sep
Addition - irrdicate
3 copies of Tree P2servafion Plan'rf lof plafled after 711193
Rim Joist Detail Oplians selecfion sheet (bklgs wilh 3 or less uniis
Date ns[ruction Cost? 3 ocd
C
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Site Address
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Rc) - UnitlSte #
Description of Work
/A x 15?
H D D r rro7J i
Multi-FamulyBldg _ Y KN Fireplace(s) X 0 _ 1 _ 2
PropertyOwner 1 6/LCt-,-E r?' -?u(-y 14 t LC-' g Telephone #( ) 6 G
Contractor Z) IQN ? O OA - /ij 6T12,P
Address 2 2 40 _ "tr-- City
State MAI Zip Tetephone # (6/Z) 3 L -p' - ? o?q D
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Venfilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Su6miBed
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N
fee applies.
Licensed Plumber Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
If so, 25% plan review
I hereby apply for a Residential Building Permit and acknowledge that the informat]A?e-Irate;
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
pernut; that the work will be in accordance with the approvelkplan in th?icase of work ?ch requires a review and
approval of plans.
0 Auu L D (/k , N o?
Applicant's Printed Name Applicant's Signahue
OFFICE U5E ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E#. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 0&plex ? 18 Deck 23 Porch (screen/gazebo) Q 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-piex Pib9_Yor_ N ? 25 Miscellaneous
Work Types
11' 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 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 (Entire Bldg) - Giva PCA handout to applicant
Valuation Occupancy MCES System
Census Code L u Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
_ Footiugs (new bldg)
Footings(deck)
? Footings (addition)
Foundarion
Drain Tile
Roof Ice & Water Final
?' . Framing -
Fireplace _ RI. _ Air Test _ Final
? Insularion
REQUIRED INSPECTIONS
FinaUC.O.
? FinaUNo C.O.
_ Plumbing
_ HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Approved By: Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatrnent Plant
License Search
Copies
Other
Total
blit 1aFriAKQN
51./{11) otu 644or.
6127396324
04i27/04 13:29
MECchevk Complifince Report
1949 nesota En¢rgy Code
MECcheck SbRwaro Version ?.2 Rdesse 1
TITI.E: Baile?y Add$iorJRemOdtl
COUNfY: Dpkota
STATE: M'iMesota
ZONE: z
CONSTRUCTION TYPE: Single Family
DA'fE: 04/27104
DATE OF PI,ANS: 4/26/04
PROIECT INFORMATION:
BullO 12x14 gddition, remodd emry area.
COMPANY WFORMATION:
David M. Nol`d
COMPLIANGB: Pessea
MaXimum U/, = 62
Your Homc -4 48
22.68/6 Better TAen Code
a 612 739 6324
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Crross ating
Area or Cavity CoM. r Aoor
Perimeter BYalu? B:Yalu -FActor SIA
Cdling 1: Flat Ceiling or Scfe4or Truss 168 44.0 0.0 5
Well 1: Insw Concrete Fokms 104 20.0
Wao 2; Woo4 Frame, 16" o.c. 260 19.0 1.0 14
Window 1: Akove fmde, Wobd Frame, Double Pane with Low E 18 1 330 6
.
Slab 1: Hoato?. 4.0' insul. 26 10.0 18
Propooed an8 Ma:imum U-J+aetor Averegee
Ptoposed Meximum
Average U-Fador Allowed L
AbovaQrada"Windows and (hass Doors 0.350 0.370
Includos FaUndation WindoWs > 5.6 ft2
COMPLIANCE STATENIE : The proposed building design described bere is wnsistent with
spccaiicetions, and her cI&Injons subniitkd with the permit application. The proposed buildi
med the 1999 ta n d r ents in MECcheck Vereion 3.2 Release
Buildar/Desiginer Date
building plen& '
boe? designad?o
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David M. Nord P.91
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JR4INAGE AND VT/LITV EASEMEIVTl_sr_-, '
s. . JOB N0.92389
2004 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 1 , R I 0
Site Street Address Unit #
Property Owner Telephone # ( )
Contractor ?y Api Telephone # ??? ) yS? I1 ?Z-
r
Address Pr Pi LU ? City . U
State /yn
Zipf?
The Applicant is: _ Owner _ Contractor _Other
Alterations to existing dwelling $ 50.00
,LAdd fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Tumaround (add $121.00 if a 5/8" meter is required)
otner. FL P,4_-
Water Softener _ Water Heater $ 15.00
_ replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ 50
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 e ent a plan is required to be reviewed and approve
r ??-
Applicants,Prmted Name Applicants Signature
D ?
!?` ? / 2005 RESIDENTIAL BUILDING PERMIT APPLICATION
?P ?P City Of Eagan In? ?
3830 Pilot Knob Road, Eagan MN 55122 ?11 JAN
Tele phone # 651-675-5675 FAX # 651-675-5694 ?
NewConstruIXionReauiremenls RemodaVReoairReauirements By - -
3 registered sde surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas 2 capies of plan Cert ot Survey Recd _ Y_ N
(20°h maximum lol coverage allowetl) 7 set of Energy Calculations for heated addNOns Tree Pres Plan Recd _Y _ N.
2 copies o( plan showing beam & window sizes; poured found tlesign, etc. 1 site survey for additions 8 decks Tree Pres Required _Y _N
iselofEnergyCalculatbns Addifron-indicatei/ons8esepficsystem On-sileSepticSystem _ Y _N
3 copies of Tree P2servation Plan'rf lot platted aRer 711/93
Rim Joist Depil Oplions selection sheel (bulldings with 3 or less units)
J
Date I
Construction Cost
SiteAddress IL{ZU ?1MD 5wop,IJ Unit{Ste#
l ?,,?
Descrip[ion of Work i
Multi-Family Bldg _ YN Fireplace(s) _ 0 (1 _ 2
Property Owner ?)CI17U" iG ?1? k u.? Telephone #( GJ /) yDd
Contractor
Address 3 ?? C? _
City
6,
State W Zip 5;3 3 ? Telephone # (55Z) c
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672,
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is compfete 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 ork is not to start without a
permit; that the work will be in accordance with the approved plan in the ase of hich requires a review and
approval of plan
s.
(?o J
ApplicanYs Pr ed Ie Applican,s Signature
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 Ext. Alt - Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF
? 04 02-plex ? 10 OS-plex 0 18 Deck ? 23 Porch (screen/gazebo) ? 38 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
O 06 04-plex ? 12 12-plex PI6g_Y or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
O 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors
? 34 ReplaCement •Demolition (Entire Bidg ) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Swcco _ Stone _ Br ick
_ Fireplace _ R.I. _ AirTest _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan aeview
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA108526
Date Issued:12/14/2012
Permit Category:ePermit
Site Address: 1426 Kings Wood Rd
Lot:8 Block: 1 Addition: Kings Wood 2nd
PID:10-42001-01-080
Use:
Description:
Sub Type:e - Water Heater
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Tony Boerner
2090 County Road 42 W
Burnsville, MN 55337
952-435-2442
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 -
Julie Ann Roberts
1426 Kings Wood Rd
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - -
I For Office Use I
I I
Permit `r
City of Ea
Rd~ i
Permit Fee: I® J-
3830 Pilot Knob Road
Eagan MN 55122 Date Received: t'
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 911 bl13 Site Address: Unit
Name: P&C_pW_VV_ Phone:
Resident/
Owner Address / City / Zip: 147-4 ~UM(AS L-JOWC> *-C:b-
Applicant is: Owner ✓ Contractor
Type of Work Description of work: W-41ur /
Construction Cost: I $l WO Multi-Family Building: (Yes / No
)
Company: Ct_r~lw. p" Contact:
Contractor Address: INVl3 CsLP-rt-4t A^& AvE• City: mkow_ t-NA-e
State: j _ Zip: S-T3'47- Phone: 64 110 RUL4-0117egC6
License Lead Certificate
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 similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.org
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 Minnesota State Building de must be completed within 180
days of permit issuance.
X V£K-e-- l ~ /
I're"WL-1r1 x
Applicant's Printed Name Ap ant' ig a ure
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA131953
Date Issued:07/16/2015
Permit Category:ePermit
Site Address: 1426 Kings Wood Rd
Lot:8 Block: 1 Addition: Kings Wood 2nd
PID:10-42001-01-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:See Comments
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 -
David A Wicks
1426 Kings Wood Rd
Eagan MN 55122
(651) 387-0941
Home Energy Center
2415 Annapolis Lane N #170
Plymouth MN 55441
(651) 766-6763
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA132210
Date Issued:07/30/2015
Permit Category:ePermit
Site Address: 1426 Kings Wood Rd
Lot:8 Block: 1 Addition: Kings Wood 2nd
PID:10-42001-01-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
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 -
David A Wicks
1426 Kings Wood Rd
Eagan MN 55122
(651) 387-0941
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
els /1 C For Office Use
/ 53 7
o. , E AG N _
Permit#:
C r i Permit Fee: -7 S /e/
Date Received:
3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 JAN 16 2019
(651)675-56751 TDD: (651)454-8535 I FAX: (651)675-5694 Staff: !J
buildinginsoections( citvofeaoan.com L
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 01/14/191426 Address: 1426 Kings Wood Rd, Eagan, MN, 55122
Unit#:
n
Cheril Wicks 651-387-0941
Name: y Phone:
r, 1426 Kings Wood Rd, Eagan, MN, 55122
f ; Address/City/Zip: g g
Applicant is: Owner X Contractor
Type of Work
Description of work: Installation of a flush mount solar array
Construction Cost: $30,423.00 Multi-Family Building: (Yes /No X )
Company: ALL ENERGY SOLAR Contact: Isaac Lindstrom
-,,�/��
Address: �yi��`�1��
City: ST. PAUL
MN .55-1-64 /De-651-888-4173 isaac.Lindstrom@allenergysolar.com
State: Zip.. Phone: Email:
License#: BC665819 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
LESS THAN 6 SQFT DISTURBED.
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:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE,Plans and sup#orti documents that you*00 Oft are considered to,be public In�atlon Portions ofthe Inform ian maybe
classified as non,,`tlbllc li' u .rovlde. ,-.,` c reasons that would:
, /.5- g--7. -
) , ()6,s IJot,i Al
DO NOT WRITE BELOW THIS LINE / y D 6o
SUB TYPES
_ Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family)
_�Single Family _ — Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck Garage _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of Plex Lower Level Pool Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation 090 Occupancy p , , MCES System
Plan Review Code Edition r .1'"`. V( SAC Units
(25%_100% Zoning r – City Water
Census Code )(,)
Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) X Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control °�
Shower Pan Other: 50Lf ^u / IA.
Reviewed By: 1 I , Building Inspector I
RESIDENTIAL FEES
Base Fee
Surcharge v VVV v'
i
Plan Review p<
MCES SAC 1
City SACt''' i". C __a
Utility Connection Charge d J
S&W Permit&Surcharge }...: '''.°-'
Treatment Plant
Copies
TOTAL
Page 2 of 3