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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 ? 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 . . . ? - - ? „ 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 K 7 A 1 g /s 017 / ,;1 _ PeQUest Dete ? / ` C F Na Roui Inspection pwreGv , / O Raady N. B9?ill NoMy Inspector n B atl + ' I Wh O ? ! ! es C No y e e 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 TOPw88790 ? 8g2{$ =4/ ? e / L?4.ED ) ? do Rti i? , S D•p'y?N UI ? '?Ge a ?/ ... \ g wi i y ? 8gto ? 1dp0 a / ti ? ? o 3; c ty ? / M N y \ ? • n ^ \ ? , . g /?/? e_ o ?? v O m h )P W 4v / Q2 1 / h S i ? ?--- ? °,Fb N \ ?c?ROF Q0?4v l?q-O?\ \ aT? ?N cg,? ` v 2 ? qQ 5 I y?.o 8g(g U ? t? ?? ? N a y _?l y, O ` J ? j J ? O e a i ?o r ega ? J? Q 892x7 8920 W HEqld YRKD BUILOING SETB4CK L/NE ? _-? S ? UTlL7TY EASEMENTJ_VL_- ? WI O1 We ; d9/ g ?s I m a n ? m ' 890*9 N0. 92389 ? 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 aima:?MYM Ib ellant NQeinu 4 cl orwNeh xn ?iP? b!o WM?M ?IRyih MMI' w??Tc 1Ywq' eFweeb IM1eec i.aprasmwkKdei?rovMYN?itlM?wnemfni0f??tl. STANDARD SYAi8f1[S @ CON V Rd'Ii0 lfeb?bcl lY m Wea?wlR kx?e? bll4d, .wtle tlw<r? N? ¢etl plpo ehoN U IeWa 1wC?utl wllli n qwlaplqleMryBUp IluvsN?or9};Tarl91l3,?ol,iyemly0wM1xlibiheyrmdw4m A911m WqyW euama frdnen moe?xxMlkewaRq hebxCSµwMwpc p? `c?5`heetr,Garlcallma[no649a?hmnEasem?fCSelr?YUalamufl¢elwKimtl??.pupvtwbw6 mEamm'anu` iwSOlliwburlbw IW.aaeMlpr?Om WapuxYhbprce Ne NObwAmpueCwcR.?n N ? CERT]FlGTIDN: ? 1 nore4y oertla 15u1 W9 mrvey wu Prepoup qy ct or unde[ aqr alroG copeienlon eaa tUc I am e o GelYSej?ewraotanasyayonm IM1d+.9o[lhe9ne.FMiwmd. m ro ii??, _ JemmH.Perkw,Prettdent MlpnenlnClaenceNo.$73y ? ?? v= ?- r SCALE ON& W ` =?EEr FEE IMMINUM O I ?? Fy( t0 - N q ? £ L . rn % t---..ai G i f ?Z 'V 0 - e l7 ? y Hl ?e?! O ?..y # ou k??'?+?u?t RLAR e „ t09VFMaL hxa . s *4e .• 4? ?? eera 6 0 0 N .„ ? .°m . ? C ? w N ? Y e ? ? m C a ? ? V z S K 7fr 7 ? 0 a. . w 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 ? I 1 9? ? - 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 ti f ' 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 o Site Address ??j e' j//?J ' Z(? (? ( ` ?W 08D 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$iorJRemOdtl COUNfY: Dpkota STATE: M'iMesota ZONE: z CONSTRUCTION TYPE: Single Family DA'fE: 04/27104 DATE OF PI,ANS: 4/26/04 PROIECT INFORMATION: BullO 12x14 gddition, remodd emry area. COMPANY WFORMATION: David M. Nol`d COMPLIANGB: Pessea MaXimum U/, = 62 Your Homc -4 48 22.68/6 Better TAen Code a 612 739 6324 1 '-t a- G ? i ? I?.crts ? Crross ating Area or Cavity CoM. r Aoor Perimeter BYalu? B:Yalu -FActor SIA Cdling 1: Flat Ceiling or Scfe4or Truss 168 44.0 0.0 5 Well 1: Insw Concrete Fokms 104 20.0 Wao 2; Woo4 Frame, 16" o.c. 260 19.0 1.0 14 Window 1: Akove fmde, Wobd Frame, Double Pane with Low E 18 1 330 6 . Slab 1: Hoato?. 4.0' insul. 26 10.0 18 Propooed an8 Ma:imum U-J+aetor Averegee Ptoposed Meximum Average U-Fador Allowed L AbovaQrada"Windows and (hass Doors 0.350 0.370 Includos FaUndation WindoWs > 5.6 ft2 COMPLIANCE STATENIE : The proposed building design described bere is wnsistent with spccaiicetions, and her cI&Injons subniitkd with the permit application. The proposed buildi med the 1999 ta n d r ents in MECcheck Vereion 3.2 Release Buildar/Desiginer Date building plen& ' boe? designad?o en a ` i i t I David M. Nord P.91 S r 9 5 S ? i< + BENCNMARK MANHOLE TOP = 887. 90 , : o aa %S? OR4 `Cr? Uf ? N'9GE- 7 N \ \ q,y0 ?g ? ` ?r$Sp 8g3 °jNC ?RO y \ l. .' ?$940 14.33 p1 i "' ?o d926 / m T ? 'f? U1 893 0 / 2.0 ' p ? / fapo f o ? '3'0 8?0 ? b N O J. / ` ?76j s°?• qR / N \ M \ JJ/ ol 890+9 O !} "? N y y i . N /. co?? M Aq? a ??4l e 32.o N 6.0 P 2(? / 8g 1 \ ; :i ? ? .- 891:7 4 O? ?v ?/ 4o Ur ^s M N 4! 8 ? L1 ?u \`"?? ? ? r / 9Z?5 PQI ? y J ? j J V ??n .'•? ' ???JEQ `O ?894 1 ? L-••" ? o 892a7 892r ?' / MfNIMUM REAR YARD BWLDING SETBACK L/NE 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