1430 Kings Wood Rd??,_.? ?._...._..?,_._..._?. _._.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: ?t'll toi?+ti
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued: '-• ' ? ?=1 `? ?+
(612) 681-4675
SITE ADDRESS: APPLICANT:
?l :?i? Nr?••; il??uF? hU I r?! ?: i ? I
, +! 1??? . ll???lt . M11 ? h• 1.' j !%.e Fi;t 1 r
PERMIT SUBTYPE:
() [) t t NH'-?
TYPE OF WORK:
f' 1 IV h 1
Hr I i
1
PennR No. Permn Hoider Date Teiepnone M
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Commenb
Footings I
Foundatian
Framing
Roofing
fiough Ptbg.
Rough Htg.
Isul.
Fireplace
Finai Htg.
Orsal Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Dlsp.
INSPECTION-RECORIJ
CITY OF EAGAN ? f PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ??'• ?'?? `? ?; ?
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 ?
• Y' t b1 .? ;,fi•a ? u? i?. , I
SITE ADDRESS: ' APPLICANT: ,
. + Ncas; wooa lza PERMIT SUBTYPE:
"H
TYPE OF WORK:
INSPECTION .. . rA
. . „?.,
, i,l? , N i . „i, • ,?.i ?
.
I i
yr PI•AN RCVrFu('tr HY H3'I1 A1)A141;. ?:Fi'AitliTf 1'FftMI? kft.ill(Rtfl f(3R ANY E1lfmf
Ll111,11k, f'/11 ! dAF.-,yRdN !tl'l.Akf171J1: FI Fi lftii AI t,F PMT'1 C.N1k
7
J
??....
Permit Holder Date Telephone M
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
/
ROOFING
ROUGH
PLUMBING /
'
PLBG
AIR TEST
ROUGH
HEATING
fr
GAS SVC
TEST
INSUL
L
?N.!
GYPBOAFD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
?
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER ?
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAI
DECK FTG
DECK FlNAL
CASH RECElPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19 1 ?
f*`FrA0
F11pI
AMOUN7
? ?rc'?`II L4?i ? YJA ILA lY et I tcAg ooLLAR,
,00
ci
Thank You
BY
, vun?e--Parers copy
G 016615? ' ?
vaiwM.?SU?y covr
Pink--File Copy
? CASH CHECK
/
SEWER & YYATER PERMIT
CITY Or EAGAN
3830 Pilot Knob Rd.
Eagan, MN . 55 1 22-1 897
QATE` DEC 26. 1991
OFFICE USE ONLY
METER # PERMIT DATE 17/31/91
CHIP # PERMIT # 12463
METER StZE B.P. RECEIPT # C 016615
ISSUE DATE B.P. RECEIPT DATE 12126/91
- PRV - BOOSTER PUMP
SITE ADDRESS 1430 KINGS k:001) RD
LOT 9-BLOCK i SECISUB KINGS WWD 2Np
APPLICANT:
ADDRESS: _
C1TY, STA7E
PHONE: ?
ZIP
PERMIT REGIUESTED
X SEWER X WATER - TAPS
COMMlIND
X NEW
? RESIDENTIAL
? EXISTING
PLUMBER: PEINE PLUMBINC
ADDRESS: P 0 BOX 23
CITY, STATE VERMILLION MN Zip 55085
PHONE: 437-9532
OWNER: 07.IfUN BUILDERS INC
ADDRESS:
15136 GALAXIE AVE
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
CITY, STA7E APPI.E VALLEY MN Zlp 55124
PHONE: 431-5000 SIGNATURE WHEN METER ISSUED
PLEASE ALLUW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR lNSPECTIONS. FOR STORM '
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER 8 WATER PERMIT
CITY OF.EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE' DEC 26, 1991
SITE ADORESS 1430 KINGS WOOD RD
LOT 9_BLOCK 1 SEC/SUB KINGS WOOD 2ND
APPLICANT:
ADDRESS:_
CITY, STATE
OFFICE USE ONLY
PERMIT DATE 12131191
METER #4? ?
CHIP # z PERMIT # 12463
METER SIZE B.P. RECEIPT # C 016615
ISSUE DATE 3- B.P. RECEIPT DATE 12I26/91
- PRV - 6005TER PUMP
PERMIT REQUESTEO
x SEWER x WATER _ TAPS
- COMM/IND x RESIDENTIAL
ZIP X NEW _ EXISTING
PHONE: _
PLUMBER: PEINE PLUMBING
ADDRESS: P 0 BOX 23
CITY, STATE VERMILLION MN Zip 55085
PHONE: 437-4532
OWNER: _
ADDRESS:
QZMUN BUILDERS INC
15136 GALAXIE AVE
Lawn Sprinkler Meters are to be Installed :j
Ahead of Domestic Meters on Water Line. 3
Credit WILL NOT be given for Deduct Meters.
x F ?'- G
1 AGREE TO COMPLY TH CITY OF
EAGAN ORDINANC t
CITY, STATE APPLE VALLEY MN Zip 55124
PHONE: 431-5000 SIGNATURE EN METER ISSUED
:<.L«i
PLEASE ALLOW 'rW0 WORKiNG DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CON A T NGINEERING DEPT. /
L - .. -
_ i`,_?- /(i' ;' ?::!•CL.,?.? r;?/ ;
M - a
? a%"
r
(Itx#i#ir?tt uf (Orrupaury
Citp of Cagan
lorprtmrtd o# lwlding jwprtan
?leis Certffuate issuMpursumrr to the mquinements of Sectlon 306 of !he Uni/'ornr Buildrag
Code cerlifying that at !he riw of issuance dis structune was ln conrpliance witJt tlre rurious
ordrnarecGS of rlu Cit!' reguladn8 building construction or use. For the joUowing.
use cbmmamim SF DWG/GAR Mdg. Fe MM 19989
- - R- ?yr? V-N
?? OZMUN L RSI C' 1 GALAXIE AVE
owm of?? N S WOOD RD ? L, B1, KINGS WOOD 2ND
APRIL 13, 1992
n.tc
&Aft officw
PW^T IN A CONSPICUOUS PUCE
• ' CITY OF EAGAN
?`?
MN 55121
' 3834 Pilot Knob Road
O
Box 21-199
Eagan
P -?
19939
,
.
.
,
.
,
PHONE: 681-4675 ,,
BUILDING PERMIT Receipt # C 01 611515
1
To¢e.ugedfor SP UWG/GAR Est.value $151+•000
Date
DEC
26
, 1991
Site kddress 1430 KIlvGS NOOD RD
9 ]' KINGS WOOD 2ND
Lot Block Sec/Sub. oFFicE use or?zY
FEEs
Parcel No. occupancy R-3 I?-1
829
00
R-1 Bldg. Pertnit t
Name OZ!!tlfQ BUII.DERS INC Zoning
(nctual) Const V-N Surcharge 77.00
w Ajdress 15136 4'AirA7(IE AYE (Allowable) Y? Pian Review 539.00
p
Cfty APPLE VAI.I.EY Mli Z'jp 55124 # of 5lories
th
Len
??
Lice"?
Phpng 431-5000 g
Depih 4?? SAC,City 100*00
?
SAME.
Name S.F.Total
-
SAC, MCWCC 6?.pp
V
A?dreSS S.F. Footprinis
On Site Sewage
Water CDnn
660.00
(;RY zp On Site well _ Water Meter 9g+00
? Phone MWCC System X
Acct. Deposit ?.
? Vcense # Ciiy Water
PRV Required X
- S/W Permit 30.00
1 hereby acknowlege that I have read this application and state that the eooster Pump - S/W Surcharge
inlormation is correcf and agree to com with all applicable State of
.
n
2 ?6?OC?
Minnesota Statutes and Citybf Ea?an
pqes.
Or
a Trealment PI
F
Signature ot Permitee ?"a" 1- . APPRdVALS Raad Unit 370• 00
A Building Permit is issued to: OzMr Sil1 ARS INC Planner - park Ded.
on the express condition that all work shail be done in accordance with all Council _
applicable State of Minnesota Statutes and City o( Eagan Ordinances. gld9. pH, _ Copies
'
Building Official
Variance
-
TOTAL
3,656.50
.._ _ , _...,..? ............... ?.?:
Permit No. Permit Holder Date Te{ephone #
-S/w a4?
PLUMBING
HvAC
ELEcTRIc
ELFCTRIC
Inspection Date insp. Comments
9?
+.c
-/
l ?
_ z
Plbg. - ZIA
Isul.
Fireplace -2 L Dla
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notiiy Plumber
Const. Meter
Engr./Plan
BI4 Final
Deqk Ftg.
Dedt Final
Well
Pr. Disp.
'Z .Z 0 -`lZ L34 I
U
Address: 1430 KINGS WOOD RD Lot 9 Blkl Sec/Sub KINGS WOOD 2ND
These items were/were not complete at the time of the final inspection.
t: APR 13 1992 Yes No Tnqnprrnr-
Final grade (6" from siding)
Permanent steps - garage ?
Permanent steps - main entry ?
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch ?
Basement finish l/
Deck ?
Please verify vlth the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists. ?
.?o.?
White - City copy Yellow - Resident copy Pink - Contractor copy
BUILDING PERMIT
To be used for SF E
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Bax 21-199, Eagan, MN 55121
PHONE:681-4675 ' C 016615
Receipt #
GAR Est. vaiue $154, 000
Site Address 1430 KINGS WOOD RD
Lot _9 Block 1_ SeGSu6. KINGS WOOD 2ND
Parcel No.
Nan10 07.14[1N BUILDERS INC
Z Address 15136 GALAXIE AVE
? City APPLE VALLEY MN Zp 55124
Phone 431-5000
p? Name SA[9:
? Address
? Cfty ZP
Phone
8 I iraneo #
I hereby acknowlege that I have reatl this application and stale that the
informahon is coneci antl agree to comply with all applica6le State ol
Minnesou Statutes and Ci f Ea an Dr (rTa eg
r?s.
Signamre of Permitee ?A euilding Permit is issued to: OZMUN BUI DERS INC
on ihe express condition thal all work shall be done in accordance with all
applicable State of Minnesma Statutes and City of Eagan Ordinances.
Builtling Olticial
19.91
OFFICE USE ONLY
FEES
Occupancy R-3 M-1
Zoning R_1 Bldg. PertnR 829.00
(ACmap Const V-N Surcharye 77.00
(Allowable) -N
PI2R Revierr 539.00
# OfStarie5
Lengih $$ ? Licem
Depth 49 ' SAC, Ciiy 100.00
SF.TOial - SAC,MCWCC 650.00
S F. Pootprmts -
Waiar Conn
660. 00
On Sile Sewage _
On S[e Well - Waler Meter 95.00
MWCC System x- 30
00
Cily Water ?[_ AccL Deposit .
PRV Reqmred _ S/W Permit 30.00
Booster Pump - Sryy Surcharge • 50
Treatment PI 276.00
APPROVALS RoadUnit 370.00
Pianner - park Ded.
Council
BIdg.OH. _ Copies
Vanance - TOTAL
0
3,656.5
Nu19989
p 74311
Request Date Frte No
? 2_ z 6_ 9 ? Rough-in InspeCion
Reqmred?
? Ready Now ARJill Noti(y Inspector
When Reatli
jYes L No
IX licensed contractor ] owner hereby request mspection of above electncal work at
Joe Aeoress (51reet Box or Route No I
9/ o K;a c.,o a ?{. ?,??F City
?•4F,a??
Secnan No Townsmp Name or N Range No Counry
els
Occupani(PRINTI
Q ,$ .Z' Phone No
Y3 /-.r'e o 0
PowerSupplrer
f}tea 1740?k?7`.Cs c Atltlress
I?'f?'RiM i It A jt
Eiecl,¢ai Comractor ICOmpany Name) Conimctor5 4cense No
Mamng Otl ss iCOmracmr orOwner Making InelallaUOn?
Y.2aT v-.+r?' cd,vY R6su??+-? ,?_s-zo G A
Z•Z
?
Authoni' ! -mr`f wner Ma InstG dl Phone Number
ye ? aiis Y13?'
MINNESOTA STATE BOARO OF EIECTHIpTY THIS INSPECTION REOUEST WILL NOT
Griggs-MlEway 81ag - qoom S-173 9E ACGEPTED 9V THE STATE 80/+Rp
1821 Universily Ave.. St. Paul, MN 55100 UNLE55 PROPEF INSPECTION FEE IS
Phone (611) 642-0800 ENGLOSED
/-?*/9r
? f4
REQUEST FOR ELECTflICAL lNSPECTION
? See instrypoons Icr cQmpleting ihis form on back ot yellow copy
"X" Below Work Covered by This Requesf
yM?A
EB-O/OO_OL0
b,
e Atltl Rep Typeoi6mlding ApphancesWired EqwpmentWued
Home Range Temporery Serwce
Duplex Water Heater Electnc Heahng
Apt Butlding Dryer Other (Specify)
Commllndustrial Fumace
Farm Air Condinoner
Ocner (syemty) ConVactors Remarks
Compute Inspectron Fee 8elow.
# Other Fee # Service EniranceSze Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps .4e 0 to t00 Amps p?u
Transtormers Above 200 _ Amps e 100 _ Amps
Signs Inspeaors Use Onry. ^ 70TAL
Irngauon Booms ?
?
0
Special Inspechon
AlarmlCOmmunicaLOn I CONNECTED IF NOT
THIS INSTALLATION MAV BE RED D
Other Fee COMPLETED WITHIN 18 M S. f
1. the Electncal Inspecror, hereby Rouqnir, ?
cerhty that the above inspection has
been made F,,ai
,
OFFICE USE ONLY
This reQuest vatl 18 monms irom
77Vr
2007 RESIDENTIAL MECHANICAL rERMIr nrrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single £amily dwellings & townhomes/condos when permits are required for each unit
Date 05
Site Address Unit #
?
Property Owner f?(? Telephone #
Contractor Dan Wohlers Southside Htg. & A/C
6950 W. 146`h St., #106
Street Address Apple Valley, MN 55124 - C'ty
state (952) 431-7099 Telephone # ( )
Bond#: T2,l_Z C3SL{'-7L} E^J Expires:
The Applicant is _ Owner /\ Contractor _ Other
Fire repair (replace bumed ouE appliances, ductwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to existiog dwelling unit $ 50.00
x
furnace _Additional /Replacement _ New
air exchanger
? air conditioner
heat pump
otlier
State Surc6arge [E n7 ? $ .50
MAY 2 1 2007 $??
Totei
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in confonnance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is not a
pertni[, but only an application for a pernut, 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 pI s. , z
0JhcA0 ,--7-
Applicant's Printed Name
ApplicanYs Signature
cirv nr• EacAN
CA5N.T.ER: S TERMINAL ND. 763
?A7Eu 08/06/98 TIMI=: i5:01:32
IU.
NAME: DAVIii M. NORD
3210 3001 1430 FCING5 WIOOII SO.CId
205 3001 1430 F:]:NGS WOOD O.SCJ
To#a1 Receipt, Amaun+„ 50.,50
Ck0360q4
USEk IPe NANCY
FERMIT
CITY Of EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: BuzLozNG
Permit Number: 0 3 2 6 5 3
Date Issued: 0 8/ 0 6/ 9 S
SITE ADDRESS:
P.I.N.s 10-42001-090-01
1430 KINGS WOOD RD
LOT: 9 BLOCK: 1
KINGS WOOD 2ND
DESCRIPTION:
, ",.._.
6aiilding. Permit Type
BuiLding G7brk Type
`"'Census Cnde
r -
?,.
?
(, _*•1
.. . ? , ' e t ? •
...?-
\??'{^
ll ?
BASEMENT FZNTSH
ALTERFlTION
434 ALT. RESIDENTIAL
€ re ' -
REMARKS:
PLAN REVIEWEO BY BILL ADAMS. SEPflRfl7E PERMIT REQUIRED FOR ANY PLUmBING
WORK. CALL 445-2840 REGARDING ELECTRICAL PERMIT AND INSPECTIONS.
FEE SUMMARY:
Base Fee
5urcharge
Total Fee
$50.00
$50.58
CONTRACTOR: - Flpplicant - sT. Lzc OWNER:
NORD, DAVID M 17394235 0009192 STYLE BILL
7240 CARVER 1430 KINGS W00D RO
ST PAUL MN 55119 EAGAN MN 55122
(612) 739-4235 (651)686-7046
1
:C hereby acknowledge that I have read Chis applicatidn and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City fi Ea en Ordinanoes,
L ?
ISSUED?WBY: ?Y TURE
APPLICANT/PERMITEE SIGNATUFE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
?- ? 3830 PII.OT KNOB RD - 55122
681-4675 ?rso•s-b
?
a?5 cQsi?A?9 ? -?p - `?
New3
Construction eauirements RemodeVRecair Reauirements
• 3 registereO site surveys
• 2 copies ot plans (inGUde beam 8 window saes; poured fid. Cesign; etc.)
? 7 energy ralwlations
? 3 copies of tree preserva6on plan if lot platted after 7!7/93
required: Yes _ N
DATE: 7RERIPTION OF WOR : 5 (fi ET ADDRESS: 50 ffl
LOT: ` BLOCK: i SUBD./P.I.D. #: L?`°,S WOOIY a NC9- MCn1
Nama S 1y'L e- 61 LL-idA1 r?? Phone #: (f/ Z>(J r/ d14
PROPERTl' I.asc ei t
OWNER L/
Street Address: I ??D F1 l/L/?i-S('Lic-UD 1e?
City k t4f-?J State: ll"N Zip:
Company: bi}u l ? y"` ` (j m-P Phone #: 65-1- 731 -?Z3 S
CoNTRnCrott 5 /3 111 ag 9
Street Address: ZZ `y/t C (? C ( ftil c , License #
City "<?7- State: Zip: ?
ARCHITECT/
ENGINEER Company: Phone k:
Name: Registration #:
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construGion ony):
and lot change is requested once permit is issued.
Penalty applies when address chang
I hereby acknowledge that I have read this appliqtion and state that the info ti n is corr a a to mply w h all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. ?-
Signature of Applicant i OFFICE USE ONLY
Certficates of Survey Received _ Yes _ No
? 2 capies of plen
? 2 site Surveys (exterior addkions 8 tlecks)
• 1 energy wlculations for healed addilions
/2 °a
CONSTRUCTION COST;
N G--S f?& 0
(6
Tree Preservation Plan Received _ Yes - No - Not Required
JL 17 MS
OFFiCE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Dupiex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-piex
O 04 SF Porch ? 09 12-plex
13 05 SF Misc. ? 10 = piex
WORK TYPE
? 31 New J5,33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual) _
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
/
? 11 Apt./Lodging 16
P Basement Finish
? 12 Multi Repair/Rem. ? 17 .Swim Pool
? 13 Garage/Accessory ? 20 Pubiic Facility
? 14 Fireplace 13 21 Miscellaneous
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building lgx Engineering
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
5AC Code
Census Bldg
Census Unit
Variance
-?
O
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Traiis Ded.
Other
Copies
Total:
Valuation: $ ?
°k SAC
SAC Units
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: Lor: s BLOCK: 1 APPLICANT:
1430 KINGS W000 RD STYLE BILL
KINGS W00D 2ND (612) 973-0819
PERMIT SUBTYPE:
DECK
TYPE OF WORK:
NEW
BUILDING
023594
05/16/94
INSPECTION D, . ..
FOOTIN6S FINAL
F
L k
J
CIfY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number.
Date Issued:
CR z4M
.MIN
BUILDING
023594
05/16/94
SITE ADDRESS:
P.I.N.: 10-42001-090-01
1430 KINGS W000 RD
LOT: 9 BLOCK: 1
KINGS WOOD 2ND
DESCRIPTION:
B-uilding Permit Type DECK
Building Wo,rk Type NEW
i
?
REMARKS:
FEE SUMMARY:
Base Fee $30.00 COPY $.50
5urcharge $.56 7ota1 Fee $31.00
Subtotal $30.50
CONTRACTOR:
OWNER: - Applicant -
STYLE BIIL
L430 KIN6S WOOD RD
?A6AN MN 55122
(612)973-0819
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City nf Eagan Ordinance5.
?
?
cmo?#\`a`j ? ANan R.pa .I 141d_
APPLICANT ERMITEE SIGNATURE ISSUEO E[Y.SIGNATURE
I" . 44
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
_0I•J0
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
ca7cs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specificatians, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3} lot change is requested once permit
is issued.
Date S /12- Valuation of work
Site Address: 14-20 "tli V??S? 1-'?clc?4a,-v?
R T 113 SUITE !t
Tenant Name: (commercial only)
LOT ? BLOCR SUSD. r,
??lJ?W?
P.I.D. #
Descri tion of work:
The applicant is: Owner ? Contractor ? Other (Describe)
Name ?kl1"_ ?s V ko-1 Phone?b
Property a5T FIRST tc,? - -1,4 0b
Owner ?uy - ?7_f- 08/9
Address
STR E STE #
Cit ' State tilhl Zip? 122
Company Phone
Co ntractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State 2ip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
BUILDING PERMIT TYPE
? 01 Foundation
? 02 Sf Dwg.
0 03 5F Addition
? 04 SF Porch
? 05 SF M95c.
WORK TYPE
,0 31 New
? 32 Addition
OFFICE USE ONLY
O 06 Duplex
0 07 4-Plex
? OS S-Plex
? 09 12-Plex
? 10 Multi. Add'1
? 33 Alterations
? 34 Repair
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
q 15 Deck
? 35 Tenant Finish
? 36 Move
r
.
? 16 Basement Finish
0 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
O 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
GENERAL INFORMATION
Const. (Actual)
(A1Towable)
UBC Occupancy
Zoning
# of Staries
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? .Site
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd Fl. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
P Footing
,0 Final
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code aL
Census Bldg
Census Unit
Assessments
p Framing ? Insulation
? Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
,so
vetuac;«r.
SAC %
SAC Units
r u?'ars??
'11' *
* *4L 2427 EnterptlsY briva
N LrNo wwvcrors. o??L K"WHacrs Mendota Haights, MN 58120
* eng * eer n9.. LANb'L"""W• LA"coutAP9 A"a'*lhrlrz (812) 881-1814
* ?t *
Certificate of Survey for: OZYI'lUn Builders, Incorporoted
. , ,
0 ?
4CI0GS ak2?5
_ ._ _. ._ _. ? - . ?z. • D ?
88Rv3
- - 891,3
O _.,.
w N
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w
i ??
q r,
r r
1 \
ONa1O
?(pe4A
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? ?, yr \'dt? t )
e
0 _+;YZ.B \ f`?
?
?? ?9s,o 92 \
? 8 9 \
l
? F aye,y ??x ?
?
I ?
?
,.l 11
L--------------- - vok??l
eciil
S
• yw.U Oenotes cxisting Eievaiion
,090 Denotes Proposed Elevation
_-_ Denotes Drainage dc Utility Easement
Denotes Drainage Flow Direetion
---o- Danotes Monument
184. '7•
l ?a{? GITdEE
PROE'bSED HOUSE ELEVATION
Lowest Floor Elevation: Sg5•1
Top of Block Elevation:__?i3h
Garaga Slab Elevation: 89?•??-
-a-Denotes Offset Hub geafings shown ore assumed
LOT 9, BLOCK 1 KINGSWOi
418
DAKOTA COUNTY, MINNESOTA
1 herohy cerlifY tMt this wMY. Plan aT npwl was pn rd byrry?? r u?o my dlroct ?upmp?4lon 8M t am duly Rqipered LsMI SUMYaV
under Ne lawl 01 lM Stan aF MlnnsaoL. DsIW -J;AJZ SCale• 1 1 Chs:3012"
R BEpTB.31KICML.3.REO.N0.14e91
CITY OF EAGAN
3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
. . . .. ..., .. .... . .. .. .. ...
,N?C;CA7:?;Y?RMTT
4ql?
FOR CITY USE ONLY
PERMIT #
RECEIPT #
DATE: 30 9/
?ATT?A;G,s PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE ]
TOWNHOMES/CON?OS WAEN PERMITS ARE REQUIRED FOR EACH IINIT.
--------------
WORK DESCRIPTION
NEW CONST _
ADD ON _
REPAIR _
FEES
OWNER NAME: ? F' or- 'sw? ' /A
SITE ADDRESS: kn? t'[' ?•
LOT: ? BLOCK ? SUBD.
INSTALLER: ?,?iG./I ?'/?]• ?
ADDRESS:
CITY:,VU46U _2? ZIP:
PHONE #:Ll 3 7 - 9 S- 2 L
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTO 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
d-0
SUBTOTAL: $? 7
STATE SURCHARGE: .50
S°
-q'
TOTAL: $?
I/w? AQA,(.?
SIGNATURE OF PE ITTEE
?OMM?RGIAT.f?IDTTSSRTAt,; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS,
APARTMENT BUZLDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNER NAME: _
SITE ADDRESS:_
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR: _
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
DWELLINGS &
$
$
(SIGNATURE)
CITY OF EAGAN
CITY OF EAGAN
• - - 3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
molMn"
9 FOR CITY USE ONLY
PERMIT #
RECEIPT #
DATE: 9
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6
TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIZRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST _
ADD ON _
REPAIR
OWNER NAME: 05 L.r Al?. '
SITE ADDRESS: 7r
IAT: C, BIACK ? SUBD.
INSTALLER
ADDRESS
CITY
ZIP: ?15J
PHONE #:a 2
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMITM 15.00
? SHOWER 3.00 ?
WATER CLOSET 3.00 ?
L BATH TUS 3.00 3 'O
? LAVATORY 3.00 !o
KITCHEN SINK 3.00 3
? LAUNDRY TRAY 3.00 ?
HOT TUB/SPA 3.00
/ WATER HEATER 3.00 -3
_Z FLOOR DRAIN 3.00 3 °"°
GAS PIPING OUT. ?
? (MINIM[JM - 1) 3.00 CD ?
ROUGH OPENINGS 1.50
_ OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL S -3 ?
L?/ ST. SURCHARGE .50
SIGNATURE OF PERMITTEE p
TOTAL: S S
CoL4MEB?I`I-I;'iNT1tISPFC??*Ii? PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
:.. ...:.: ?., .. .,.. . .
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZZP:
PHONE
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
$
$
(SIGNATURE)
CITY OF EAGAN
....:.... -
829•+
7'7 - +
539•+
2p 271•5+
3+656•5*
.
1991 BUILDING PI7 APPLICATIO
CZTY OF EAGAN
SINGLE FAMILY DWELLINGS
i 2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
il SET OF ENERGY CALCULATIONS
PENALTY APYLIES WHEN
M[TLTIPLE DWELLINGS
TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER M[TST DES
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMI
PERMIT MUST SHOW A LICENSED PLUMBER. ;
UI
To Be Used For: ?? VY1 Valuation. Dat ?
Site Address OFFSCE USE ONLY
Lot _?J_ Block ?
Parce:
Owner
Addre:
C i ty/;
Phone
Contra
Addreys
City/2ip Code VJ\,
Phone /
Arch./EnRr(.,U ?'
Address
City/Zip Code 4?K
Phone #
Length 57y2,
Depth y9?
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System
City water ?
PRV _
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off.
Variance
COMMERCIAL
ICH ADDRESS IS
HAS BEEN COMPLETED.
DEC ? ? "'I
? 9 jo?:
FEES
Bldg. Permit 829.00
Surcharge l 00
Plan Review ,39,00
SAC, City /OO#va
c?
SAC, MWCC 650.0
Water Conn. (p?,O0
Water Meter 95•0v
Acct. Deposit D.aa
S/w Permit 30• oa
S/W Surcharge i-ey
Treatment P1. , ,oJ
Road Unit 70.00
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL 7 ? GSD
{?? "/,gf-(oa
agrees that all work shall be done in accordance with
S
Occupancy 171-)
Zoning R-I
Actual Const V-N
Allowable V-N
# of stories
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
GaaavE
I 2 X 2 y=,?8?
(`i x 2.0:
__----
?68 X15= /0020
$S
?Sx?? r S?S
a? k,,?"? ?,s
I? x i2 : 1q2
j2 X i3 = Is? - -
g X i3 =/a4
--?-
?
13u2. x ry = 1e,7$9
IS-r Ftodm, ?
? - _
?
135?M7 - 13'f Z
? xs = ?
?x,3= 3
3x3n %a = `?
13 57 xs3 = 71,9 2t
z n?D ?oc
? z?12,? a i?3 = y Sg
/,` rbs
1 7/ Zf,-
J@8 Xs'3? 5Z36`I
/53,083 ?r2
? N t'?/?4?L?n e ?t
I`Po%k ?°t?lYr-??!
.
?
. 5
* PION R uaDSIMV[YOIR- BVILppINCM f244L22
N 55120
ot a H' Ia g?btsbMri"
12) 887•1914
?* T
Certificate of Survey for. OZI'1'1Un Builders. InCO?DO?ed
?
.
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v. .... - - - ?M 184.l? ` c
S 89°34;, - __?--• z??.?r? Y)????
• yuuv 'uenoies
<JgO Denotes
-- Denotes
Denotes
-o- Denotes
-.a- Denotes
LOT 9 ,
cxisting Eievaiion
Propased Elevation
Drainage dc Utility EasemenY
Drainoge Flow Direction
Monument
PRdPOSED HOUSE ELEVATION
Lowest Floor Eievation: 865•1
_J;.&
Top of Block Elevation:8
Garage Slab Elevation: 99z.74-
offset Hub Bearings shown ore assumed
BLOCK 1
oAKoTn couNrr, MwNESOrn
1 Mrahy evUfy tMt ehis a+rvey. Pl" a raport vvaS.rod bY r u my dlraet cuparvi+ion snd t am duly RpilnrW Lsnd SuneVOr
und?r the lavti o1 1M Scata o! Mlnnweta. Doted tAb Wy ol A.D. ?9 ?-._. c-zz
(;+v lZ'23-?LI -?iicrosn D:?^s:ws
Scale: 1Inch°3 011fit R BERrB.SIKICML.S.REO.N0.14891
OZMUteI BUILDERS, INC.
DESIGNERSAND BUILDERS
15136 GALAXIE AUENU E, APPLE VALLEY, MN 55124
-- -- -- --- ---- -------- -- - -- - - -
.. Average 'U".Cbmp
Job Site
(612) 431-5000
ion
Legal Description: . Lot?Block ? Addition?41--MO???j- -?? ?Date
AVERAGE LINEAL" FEET pF •
EXPOSED WALL AREA ABOVE GRADE
Main Level '
Lineal' tt of
Second level:
I,ineal tt of '
Vaulted Area
Lineal ft of
Rim Joist ArO-a.
'Lineal Et of
Lower 1eve1 •
framed wall above
framed wall above
framed wall above
rim
grade[-Px height of
grade?3&x height of
gradex height of
310 x height of
Wdll?a I_ 54-b
Wdll-_(t? a 1044-
wall ? __5b+
rim ? = 3?0
Lineal ft of framed wall above grade ^ xhaight of wall -_-
I,ineal ft of fxamed wall above gradex height of wall
Lineal ft of masonry wall above grade x hcjt:;dboVe•>grade
Tptal ti;all ar.ea above grade including windows and doors =?.>',(pd5 a,
WINDOW$: Brand and Type_i I I a c 64, ??W%At+j
Area x.'!U" value
sq.ft.
sq.ft.
sq.ft.
aq.ft.
sq. ft.
sq.ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft. X
sq.ft. x
sq.ft. x
sq.ft.. X
DOORS : Ar,ea • x value '-
?^?31 IVIS41 [a1"
w r?
4, i`e'?AA60w?, , .
OPAQUE WALL CONST
sq. ft_
sq. ft_
sq. ft.
ft.
RUCTION:,Area x"U" value
Framing members s ft , ` x
Franted wall sq.ft , 13 x
Rim Joist Area sq.ft ?-O x
Masonry wall . sq.ft?X
Total wall area including
Windows and Doors
Total(U) Values
Divided by+total wa area
3?,04`1
a. ?.?-,lpDS
b.-Wa5,_?1' -
a.
„U„4411,34-
nUu ?
?
uUu ?
uVu
U _
ll - 0
nUn a
aVn?a '
uVn / Q
nUn a
?
nun .
nUn a
uUu =
nUn _
uUn
uVu
aUn
4luil
liU?i I ?Ll 2
liul: 04,3 =
uVu ?0 a 1'•?2??1 ?
u0o 107 ° I? q4
b
Avg. "U' 7??"1
AVERAGE "U" Minimum ,ll or less,for 1& 2 family dwellinqs
?TERIoR- p-IR- ?I LM
?I ol N[.
??? ?*? I NSUI.
?/2? vYP• ???
INTERIOtz p.l? ?ILM
2.OCo
,4s
. . ,(oa
_ ' ToThl.. ?- .
R?M Jals`r Arze?n'
r
? 1-7-
. ? . . ... i C?,?
2, ac?
?,ea
.?
;
, 17
; 2.48
; Zs?•Uo
u.. '.I4?
?XTERIO? >.IR FILM , 17
1?7I bl N40
SµaP•TH I N!s 2.OCo
5,/2, SoF7 woap !o .S'75
I12, l?`I P• SD , s}t
II-I7EE2IOR P•I? FIL-1-4
?LoB
_ TOTA. L p ' a
u ? ?/? u = ?? ?( r
?P,l?M EP WALI?
<? ?- -
?
_? ...
17
'F-RiaP- NR FI?.NI ,col
? GY P ? v , 5?0
.60I
? -
u =
EX-?-ERl?lz-fs-Ifz ?I?-M ,lol
12? F?. If-lSU?-P,'71oµ ???,,G7n
?9? GyP? E?D• ?5la
11-?'t"ER?ofz- PIR- ?ILM ,?I
7re>'Tat- {z -
CU=
Z
llei?-??3 ?;) -
CITY USE ONLY a
L ? BL ? d RECEIPT #: ?
SUBD. ? Gc/orrc?i ODATE: 1112919J
7995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dweliings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
Adci-on air conditioning Add-on air exchanger, i.e. Janee sysiem, etc.
Date: ///?- iq-?C2 '/?
FEES
? Minimum Fee: Add-onlRemodel (existing residence only $20.00
? HVAC: 0-100 M BTU
Additional 50 M BTU
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge
TOTAL
24.00
6.00
r. '_?rG
SITE ADDRESS:1?&
OWNER NAME:.-40/.
INSTALLER NAME:_
STREET ADDRESS:_
cirY:
PHONE #: (
? /z- /,Y-?,
'S?
PHONE #: ?? - 7?? Co
Vf9G
y
ZIP:
CITY USE ONLY
L _ BL _
SUBD.
RECEIPT #:
DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are = required
for each dwelling unit.
UAIt:
CON'i RAt; I PRICE:
WORK TYPE: _ NEW CONSTRUCTION
DESCRIPTION OF WORK:
INTERIOR IMPROVEMENT
FEES: , $25.00 minimum fee Q.t 1% of contract price, whichever is greater.
? Processed piping - $25.00
• State suroharge of $.50 per $1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SI7E ADDRESS:
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONLY)
TELEPHONE #:
INSTALLER:
ADDRESS: _
CITY:
PHONE #:
SIGNATURE:
STATE: ZIP•
SIGNATURE'OF PERMITTEE
CITY INSPECTOR
CITY USE ONLY
LOT ! BL ? RECEIPT #: ` 61 S D
SUBD. ?A/0-(3-dC p? RECEIPT DA TE:O
-?
1998 MECHlEN1CllL P£RMIT (RUID£ftTIAla
crrY og $wsnn
3830 Pu.oT KR08 gn
eAsAN euN 551E2
(618)6$7-4675
Date:
Complete this section Qn[Y if you aze installing HVAC in single fanuly, townhomes or condos under
construction and not owner /occupied '
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
• State Surchazge: .50
• TOTAL: iA* •
Complete this section onlv if you aze remodeling, adding to, or repairing existing single faznily dwellings,
townhomes, or condos. Note: Mechanical pernut is not required for alterationladd-on to ductwork in
existing residential units; but is required for the following:
? Install fumace Install air conditioning
_ Install air exchanger, i.e. Vanee system, etc. _ Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
3tate Surcharge .50
Total: $ 20.50
SITE ADDRESS: I `l,S b
OWNERNAME: Gf'neJ l S'?"YI t.°-s PHONE#: 636 ^7`106
INSTALLER NAME: A L L- 1 Cl vt Ge yl7 -CL ? PxorEa: 633 - 5333
STREETADDRESS: /7C' d ?'jq 1< GYt,?-?- 4t/-P
CITY: 4•0S ti° ?.* //-e- STATEJ'1 vl ZIP:s.5-113
SIGNATURE OF PERMITTEE
IS/FORMS BLD/MECH PERMIT (RES) - 1998
L BL
SUBD.
APPROVED BY:
1998 b!£CHANiCi4L PER.MIT (COMMERCIAL)
CITY OF E4fiAN
S$SO P1LOT KNO$ RD
£AHAN, MN 55122
(618) 6$1-4675
Please complete for all commerciaUindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x 1 %
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
($.50 per $1,000 of oertnit fee due on all permiuJ
OWNER NAME:
PHONE #:
TENANT NAME (uOxovEMErrrs orri.v):
INSTALLER:
ADDRESS:
CITY:
cirr use oNLv
RECEIPT #:
RECEIPT DATE:
PHONE #:
STATE:
ZIP:
SIGNATURE OF PERMITTEE
I L 9 BL ol CITY USE ONLY RECEIPT #: '?I CG ??O J
SUBD. V/J RECEIPT DATE: ? I a 9
1998 PI.UMBING PERMIT (RESIDENTIAL)
CITY OF EA6AN
3830 PILOT KNOB RD
EAGP.N, DIIi 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? 6ackflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x =
Water Closet 3.00 x I,_ _
Bath Tub 3.00 x _J_ _
Lavatory 3.00 x J_ _
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ` minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener ' for dwellings under construchon 5.00 x
Water Softener ' for axisting dwelling 20.00 x =
U.G.Sprinklef `fordwellingunderconst. 3.00 =
U.G. Spfinkler ' forexisting dwelling ? 20.00 =
Altefatl0ns ' to existing residence ?. 20.00 =
Water Tum Around - - 20.00 =
Private Disposal System * MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems " Abandonment 20.00 =
RPZ (new installation onty) 20.00 =
STATE SURCHARGE 50S O
TOTAL ?D -
_--------------------------------------- -------------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this appliptian, state that the iMormation is correct, and agree to eompty with all applicable City of Eagan ordinances.
It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liabiliry for any damages caused by the City during its
nortnal operational and maintenance activities to the fadlities construded under this permit within City propertylrightof-way/easement.
SITEADDRESS: (43O Kii.IGS(??OfiD
OWNER NAME:
INSTALLERNAME'Acc:g+LTSa?RV(c-;r TELEPHONE#:
STREETADDRESS ?O Sb, WlL-bSA--
CITY: S+. -?AuL STATE: P11.1.w(. ZIP: SSCI?
u,l?Q CAU;a-
SIGNATURE OF PERMITTEE
CD/PERMIT FORMSlRPLBG PERMIT (RES) - 1998
, -
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1430 Kings Wood Rd
Lot: 9 Block: 1 Addition: Kings Wood 2nd
PID:10- 42001 - 090 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: P
Fee Summary:
Valuation: 3,000.00
Contractor:
Craftsmen Home Improvements
7455 France Ave #194
Edina MN 55435
(651) 430 -3706
ctures are not acceptable in lieu of inspections.
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
$90.00
Owner:
William E Style
1430 Kings Wood Rd
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA077434
04/24/2007
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1430 Kings Wood Rd
Lot: 9 Block: 1 Addition: Kings Wood 2nd
PID:10- 42001 - 090 -01
Use:
Description:
Sub Type:
Work Type:
Description:
Meter Size Meter Type
Comments:
Fee Summary:
Contractor:
C & N Plumbing, Inc.
11926 Summerset Lane
Burnsville MN 55337
(612) 419 -0664
e - Water Heater
Replacement
Water Heater
Chris Peterson
11926 Summerset Lane
Bumsville, MN 55337
Manufacturer
PL - Permit Fee (WS & /or WH)
Surcharge -Fixed
Total:
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Pemiitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Serial Number Remote Number
Owner:
William E Style
1430 Kings Wood Rd
Eagan MN 55123
$50.00 0801.4087
$0.50 9001.2195
$50.50
Issued By: Signature
Plumbing
EA083058
05/14/2008
ePermit
Line Size
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA132249
Date Issued:08/03/2015
Permit Category:ePermit
Site Address: 1430 Kings Wood Rd
Lot:9 Block: 1 Addition: Kings Wood 2nd
PID:10-42001-01-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
William E Style
1430 Kings Wood Rd
Eagan MN 55123
(651) 434-8583
Sandstrom Enterprises
515 Maryland Ave W
St Paul MN 55113
(651) 983-4340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143899
Date Issued:06/30/2017
Permit Category:ePermit
Site Address: 1430 Kings Wood Rd
Lot:9 Block: 1 Addition: Kings Wood 2nd
PID:10-42001-01-090
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
William E Style
1430 Kings Wood Rd
Eagan MN 55123
Garlock French Roofing
2301 E 25th St
Minneapolis MN 55406
(612) 722-7129
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA166534
Date Issued:01/19/2021
Permit Category:ePermit
Site Address: 1430 Kings Wood Rd
Lot:9 Block: 1 Addition: Kings Wood 2nd
PID:10-42001-01-090
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
William E & Cynthia Style
1430 Kings Wood Rd
Saint Paul MN 55122--186
Plumbing Restoration and Services
889 Pierce Butler Rt, Unit D
St. Paul MN 55104
(651) 528-8834
Applicant/Permitee: Signature Issued By: Signature