1454 Kings Wood Rd
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Wei.?tificate of cccupanc4
Witv of Cf agan
Teoatmext of 13ai[biag 3nOection
This Certificate issued pursuant to the requirements of ihe Uniform Building Code
certifying that at the dme of issuance this structure was in compliance witk the various
ordinances of the City regulating building construction or use. For the following:
SF AdG 1123
Use Classifiwban: Bldg. Pl•tmil Na
occurancr TYW IS1120" uimi w s ast;ct 'M:-10214 .
Owner of 6uilding Addmss
liry ,
np Address
B
Dme: ?
8uilding OOicial ..
POST IN A CONSPICUOUS PLACE
P
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
14!.4 k 1Nirl"i
k 1 N13 ; WOOb 2Nl1
PERMIT ?,V?PTYPE:
INSPECTION RECORD C°nt`°' "°. 0861
PERMIT TYPE: ill Lill ?N
Pennit Number: *a 11 ;' 13 •
Date Issued: 01124147
t nT ?22 Ntor.?; t APPLICANT:
woor, kr, '.v+ Nr+ rrrtRsc,a caMS`r
(t,]d') 864 S144
TYPE OF WORK: NEW
INSPECTION .. . DA
i tII11 1 Nii t RAM! Nta
INNIII Af 1+jN FJ'NAL I
i {NI"?'t Al ! I
Rf'MRI'tK!3n. RFf.k1F'1 M
;&N WtHR - iiEN7/RYAIV
Pemik No. Permk Holder Dats Telephone s
SNV
PLUMBING
HVAG
ELECTRIC 410
ELECTRIC •
Inspectbn Date map. CommeMa
Footings I
Foundatlon
F?ing
Roofln9 (d 3v pz p
Rouph Pfbg.
Aagh Hng. ?0 30 ?
Isul.
Firep18C9 II
/
Finel Fitg.
KJp
Orsa, Test I
F'uiel Plby.
NJ Plbg. Inspector - Notiy Plumber
Consl. Meter
EnprJPlan
Bldg. Flnal r,2 ? 5 3 ? S
D9ck Fte.
Dedc Flnal
Well -
Pr. Disp.
?
Address 1454 KLNC,s wooD RoAU Zip 5512 2
Lot • 29- Blk l Sub KDcs woon 2rID
THESE TI'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6 from siding)
Permanent steps (garage)
Permanent steps (main entry) v
Permanent driveway ?
Permanent gas
Sod/Seeded grass
Trail/curb damage ?
Porch
Basement finis6
Deck
Please verify with 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.
Contact engineering division at 681-4645 before working in right-of-way or installing undcrground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
REQUEST FOR ELECTRICAL INSPECTION
? See instmctions br completing ihis form on back o1 yellow copy.
427.40 °X' Below Work Covered by This Request
XoeN EB-00007-09
ew A?B? Rep: Type of Building ? AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specdy) onlracror's Remarks:
Compute Mspection Fee Below: G ?
ff Other Fee # S%*' EntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 t200 mps r, O a ti] 0 to 700 Amps O
Transformers Above 200 _ Amps B6ove Amps ltl,
SignS • Inspector's Use Only: O I,
v TOTAL/j?
Irrigation Booms ?
G ' u
Special lnspection Ldv
Alarm/Communication THIS INSTAILATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee _ tOMPLETED WITHIN 18.MONTIj .
I, the Eleclrical Inspector, hereby"
certify that the.above inspection has
been made. Aou9h-in ?
nnai ? Datef -^ G
oere
OFFICE USE DNLY
This request void 18 monihs Irom
i / Y -0--
/J.-) ') // k/ i
42?40
U
RequestDate-. .?
???? ire o. Rou -in nspection
Requiretl?
? Ready NOw II Notity Inspector
h
R
?
as f? No en
eady
I[(censed contractor El owner hereby request inspection of above electrical work at:
Job Atltlress Slreet. Boz or Route No.)
I?
r
? Ci}y
?
/
L(J D O Q Ct
Sectio No. Township Name No. Range No. Coumy
Occupa IPRI T
Gvrls r4efo Phone No. 9 0.41
s-? 4?e
Power Supplier
? C?eG' f ri G Coo Atldress
?r 6/>
lectncai Contractor (Com ny Name) Conirecmr5 License No?. +
Q? J6 {^?L 1'ISbT/ UO
Mai ng Atltlress (Coniractor or OwnerMaking Installation) .
_C!?b _?v .??'
Aulhoriretl SignaWre fConiraciorl0 er Making Inst6 at Ph ne Number
?
/?
? ?n .2A-r? ??iS oZ-Q
MINNESOTA STA7E BOApD OF ELEC RICITY
Griggs-Midway Bldg. - Room S473
7821 University Ave.. St. Paul. MN 55104
Phone (612) 642-0800 r
---
TNIS iNSPECTION FEOUEST WILL NO
BE ACCEPTED BV THE STATE BOARD
UNLESS PqOPER INSPEC710N FEE IS
ENCLOSED.
Eagan MN 55122
Phone: (651) 675-5675
Fax:(651) 675-5694
? _ _ _ _ _ _ _ _ _ _ _ -_ _ _ _ ?
? ??Q„•+..q+?5? ?
? Permit #:
? Permit Fee:
I ? I
? Date Received:
I ? ? I
? Staff: I
I I
------------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: PJ LLI C1 o
Tenant: Suite #: _
RESIDENT ! OWNER Name: 70? l?? H ir?- Phone:
Address l City! Zip:
Applicant is: ? Owner _?(Contractor
TYPE OF WORK Description ofwork: ?? ?\ T?
Construction Cost: U ? Multi-Family Building: (Yes _ I No?
CONTRACTOR Name: orl_?' License #: I ) C_?G?I S ) U)
?
Address / ? ?
City: Sta4tik'-I Zip: JE3"
Phone: Contact Person:
T
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
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:
NOFE: Plans and supporting documents that you submit are considered to be public information:,
the informafion may be classifed as non-public if yoo-provide specific reasoi?s ti?at would permif
!nfl
-cdnclude`that the ` are trade secrets. -
I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance wit the ordinances and codes of the City of
Eagan; that I understand this is not a permit, 6ut only an application for a permit, and work is not st ithout a permit; that the work will be in
Xccordance with the ap?oved plan in the case of work which r?epyi?s? Diew and X proval plans.
, D ????
App icant's Printed Name ? APR 2 1 20ApplicanYs Signature
Page 1 of 3
INSPECTION RECORD Control No. 0861
CITYOFEAGAN PERMITTYPE: BuILorNG
3830 Pilot Knob Road Permit Number: 001123
Eagan, Minnesota 55123 Date Issued: 07/2 a/g 2
(612) 681-4675
SITEADDRESS: LoT: 22 eLocK: 1 APPLICANT:
1454 KINGS WOOD RD SVEND PETERSpN CONST
KINGS WOOD 2ND (612) 884-5144
PERMIT SUBTYPE:
SF DWG
TYPE OF WORK:
NEW
INSPECTION
FOOTING .• .
FRAMING .A
INSULA7ION FINAL
FIREPLACE
. ? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
?
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
1454 KINGS WQOD RO
LOT: 22 BLOCK: 1
KINGS WOOD 2ND
BUILDING
001123
07/24J92
DESCRIPTION:
"Bui?ldLng Permit Type SF DWG
6uilding- ',Work Typa NEW
" UBG dccupancy R-3 M-1
Censtruct3dn`-Type VN Zoning R-1
Building Length .? 73
Building Width 42
_--
,y .
,
r;-\,
L
REMARKS:
RECEIPT # 0(),a&Q'7r S&W PLBR = 6ENZ/RYAN
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
VALUATION $188,000
$947.50
$615.8$
$94.00
$700.00
100
1
$2,357.38
MISC FEES $1.610.50
7ota1 Fee $3,967.88
CONTRACTOR: - APPlicant - ST. I.ICpWNER:
SVEND PETERSON CONST 18845144 0001769 PETER30N CONST INC 3VEND
10214 PARK VIEW CIR 10214 PARK VIEW CIR
MINNEAPOLIS MN 55431 BLOOMINGTON MN 55431
(612) 884-5144 (612)684-5144
I hereby aeknouledge that I have`read this appliaation and state that the
information .£e cnrrect and agree to comply with all applicable State of Mn.
SLatutes an -Clty of Eagan Ordinanees. •
? ,.
APPLICANT/PERMITEE SIGNATURE ISSUED BYYG ATURE
Control No. 0861
PERMIT # -
REACTIYATE _
k, 9
APPLICATION
L.*
,,/.?3 C,,tbd :JUL
i??
? ? tyr
RECL
?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set af
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in w ich re uest is made or lot chan e is re uested once ermit is issued..
Date /2L / V luation of work
Site Address: /?? 4 7VJ ?JGS 11o 00 'Q J3
. STREET SUITE f
enant Name: (commercial only)
OT vL
[ BLOCK SUSD.?/N6'S w??D P.I.D. N
NO
Description
of work: SF ?W &
The applicant is: 0 Owner 6 Contractor 0 Other (oegorrbe)
Name Phone
Property LAST FIRST
Owner
Address
STREET STE R
City State Zip
Company ?.,r <Q_ Phone kk`z1 L/
Contractor Address l0a /,v 1?'`%9,pK L=aC'lPeLicense # 7L- Exp. ??
City ?1ov/'Pi6V6?Tv •? State 141 Zip.?S Y 3 i
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer 5 water licensed plumber f?-Y1-9h/ . Processing time for
sewer & water permits is two days once area has been approved. '
I hereby acknow}edge that I have read this applic"n and state that the information is
correct and agree to comply with all applicable 8tate of Minnesota Statutes and City of
/
Eagan Ordinances.
Signature of Appllcant:
L
CITY OF EACAN
1992 BUILDING PERMIT
681-4675
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation
0 02 SF Dwg.
O 03 SF Addition
O 04 SF Porch
O 05 SF Misc.
O 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
? 11 Apt./Lodging
O 12 Multi. Misc.
? 13 Garage/Accessory
? 14 F9replace
D 15 Deck
s • `
? 16 Basement Finish
O 17 Sw1m Pool
O 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
O 21 Miscellaneous
WORK TYPE
,-Iff 31 New 11 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition O 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft . 16,32 MWCC System
(Allowable) ? lst F1. sq. ft. City Water ?
UBC Occupancy 9-3 NI-/ 2nd F1. sq. ft. 1,215 PRV Required ,
Zoning ? Sq. Ft. total Booster Pump
# of Stories 2 Footprint Sq. f t. Fire Sprinkler
Length )3 On-site well Census Code ?
Depth yz On-site sewage SAC Code o?
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED IN SPECTIONS
C:i Site b"Footing AE Framing ? Insulation
? Wallboard El Final O Draintile ? Fireplace
Permit Fee
S
h veiUac;a,: g ? g bc?a
urc
arge asw;-
Plan Review ? 3 a 72„20
License
MWCC SaC
'2
C i ty SAC
Water Conn. 3,?,r /? = y 8
Water Meter - /?38•1-/s= 2ys))a
Acct. Deposit
S/W Permi t
's t- ?l
13iS ?-S3 ?
S/W Surcharge 2 Sfk ?l? :/7?8
Treatment P1.
Road Unit
Park Ded.
Trails Ded. /0A- lz %0
z y,? 3 z,? /? ? 12
z 88
Copies 3 ^f ?
Other (?7¢?'
53
Total : .. 160')S 3 ?
?
SAC 96
SAC Units
i
Contrae#or S_ Pe#ersen Canst_ inc_ 884-5144
Si#e Addre Lo# 22 Biock 1 Kinys 'a*ood 2nd
1 Total exsposed rall area 2799 0.11 307.89
2 Total raoglCeaiing are3 1402 U#.JiG 36.452
Total 344.342
'f4#ai 3ra11 area a6ove floor
A Total r*andorr area 21 n n=Z 67.2
B Total Daor area 56 0.128 7.1 E,8
C Total sliding Glass area 40 0.3E 12.8
D Total fireplaee area 18 ?.1.128 2.304
E Total framing area (a*r_1099) 279 0.139 33.201
F Tot. ne# rafl area ebQVe #loor 1961 0.045 8$.335
G Total rim juist area 23= 0.047 10.951
Total expased founda#ion area 133
H Total founda#ian Yinduar area : 0.32 2.88
1 7ot _ net ffounda#ion abore grade 224 O.1 4 3 it .36
Total 256_19J
Total exposed roaflceiiing area 1402
J Total skyligh# area C C 0
K Tn#_ roorlceiling framing (1099) 140 U.449 6.86
l Total oe# insulated roo#lceiling area 1162 0.0193 24.3566
Total 31_2ll6fi
,Cert:ficate,fVr: Bk: 155/61
Svend Petersen
4701 West 110th Street
Bloomington, MN 55437
?
DELMAR H. SCHWANZ
UND 9lJRVEYORB, INC.
IISp41pM Under tnrit ol The Slate ot Mlnn»oti
A 74750 SOItTH ROBEiiT TRAiI ROSEMOUNT, MINNE30TA 5509e 812/423-1789
To/Cu a A
. 899.k
SURVEYOR'S CERTIFICATE
Scale: 1 inch = 30 feet
O Denotes iron monument
foo II`'g ti° \
88y'z jot,\
? 0.
7"oP Nve ,y `'??
? Denotes set wood hub gp?q•0 ?'A. -y9 •o .
)' VI0,2 Denotes existing elevation
111 \ s ? &?G 3 51
(:D Denotes proposed elevation „-
?
oo
d?' ?hEV? • S
?? E p ,?o / to ??,?oP
? ? s
?L o\ 0) 5?
R£? ri 0'
'ZC Z o? d%Gn
y
j ?OT z. PL K? gsg e' g9e.
i'
3
o -----?'
, ? ???fL}Inl?GC f UT1Lir%I'1t Nl
?
AIG•S ?B9-?o-ooE' /B2.oo
To/'Nu8
B9o,4 c 89?.8
_ Propoaed garage floor elevation
9124 Proposed top of foundation el.evation /
P
884.¢ Proposed lowest floor elevation
?
? .?
.?` ?
7b? t?u? ?9 ff8
?9l. o
?
i j"GPC? I?
&45,9
? ToPCvcg
gff&,;
Descrintion: Lot 22, Block 1, KINGS WOOD 2ND ADDITION, accb4ftlish
thereof, Dakota County, Minnesota. ?AGAN ENGINEERING DEPT
Also showing the location of a proposed house as staked thereon.
1 hereby cehHy thet thls eurvey, plen, or report wes
prepered by me or under my dlrect supervlalon end
thef I em e duly Registered Lend 3urveyor under
the lewe oi the Stete o1 Mlnneaote.
Dsfed ??16?9Z
Delmsr H. 9Z - ?3?&55 -
Mlinseote R " lon No.e626
- . ?.:i
***************************************
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 773
DATE: 04/26/00 TIME: 14:52:17
ID:
NAME: CORRIGAN CUSTOM HOMES, INC.
3210 9001 1454 KINGS WOOD 60.00
2155 9001 1454 KINGS WOOD 0.50
Total Receipt Amount: 60.50
CR128233
USER ID: JAN
***************************************
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? qo?j?
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4875
? 3 regisered site surveya ahowing aq.1L ot lot, sq. lt. of haise
and A rooled areaa (2096 mmclmum bt eovera9e albwed)
D 2 copiea of plans (show beam & wlndow aizes; poured fnd. deslgn; etc.)
D 1 aet of energy calculaflons
? 3 coplea ot 1ree preaervalion ptun H Iot plalted aHer 7/1/93
DATE:
Sbo, 50
cal(ed qf Mlyo
.._...---•-•-----•----••-•••-•-•- ?
2 coPies of plCn
1 set of energy calculWlons tor heaTed addiHons
1 Site Eunrey for exteAor qddlNOnS & decks
CONSTRUCTION C05T:
DESCRIPTION OF WORK: 4e,
STREET ADDRESS: o o d ?
LOT: ..?? BLOCK: I SUBD./P.I.D. #: ih d Wn ,)hd
Name: 0( 7 ?,`_eP'i Phone #: 47
PROPERTY Last First
OWNER
Sheet Address: ??? /? , ???? / Gv d m cl /?
c«y .? ?Za.-7 State: Zip: S?/ L Z
Company: f?rfr?Jtirc_ Pt?one #: ?OlZ- ??-l??'?
(area code)
COMRACTOR
Sheet Address: Lkense ?2;??15 Exp.
Ci1y --Gc??ir f fa/?< ? Sfate: xe Zlp: S`???17
ARCHITECT/
ENGINEER Company:,
Telephone #: (
Name:
Sheet Address: RegishaNon #:
City
State:
Sewerlwater licensed plumber (if instalflna sewerfwaterl: Phone #:
Zip:
I hereby acknowledge thot I have read this appiicatbn, sFate that the infortnatbn is coRect, and agree to comply wHh all appAcable State
of Mipnesota Statutes and City of Eagan Ordinances.
+ Signaiure o( Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No '
Tree Preservation Plan Received _ Yes _ No _ Not Required ??Pri 17
?
BUILDING PERMIT SUBTYPES
? 01 Foundation O 07 05-piex
? 02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex 0 10 08-plex
0 05 03-plex ? 11 10-plex
? 06 04-Plex ? 12 12-plex
wowc rYPE
? 31 New
? 32 Addition
-)S,--?33 Alteration
? 34 Repair
OFFICE USE ONLY
>
? 13 16-plex ? 21 Porch (3-sea.) O
? 17 Garage ? 22 Porch/Addn. (4-sea.) ?
? 18 Deck ? 23 Porch(screened) ?
? 19 Lower Level ? 24 Storm Damage
PIbg,'
.5?Y or_ N
?
25
Miscellaneous
? 20 Pool O 30 Accessory Bidg.
? 36 Move Bldg. ? 43 Reroof
? 37 Demolish (Bldg)' 0 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code G \
No. of Units 0
No, of Buildings i
Const. (Actual)
(Allowabie)
UBC Occupency
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building ? G
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
31 Ext. Alt - Muw
33 Ext. Aft - SF
36 Mufti
L/ 3 H
Permit Fee
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.
Other
Copies
Total:
SAC Units
% SAC
Valuation: 00
$
r
L ?a BL ?ITY aF EAGAN
PI
SUBD.N? ?IMBING PERMIT
(612) 661-4675
AESIDEl1TIAL
PLEASS COMPLETE Uppgt pORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS AEtE REQUIRED FOR EACH UNIT.
-------------- ---
WORK DESCRIPTION
NEW CONST tef
ADD ON
REPAIR
OWNER NAME :
SITE ADDRESS l ' S
y ? .,Z?
INSTALLER: GENZ-RYAN PLITMBING
[wDRESS: 14745 South Robert Trail
CITY: Rosemount ZIp; 55068
CITY USE ONLY
xECEir•r
DATE /0 30
ALSO, FOR TOWNHOMES AND CONDpS
COMPLETE THE FULIAWING:
N0. . FIXTURES EA. TOTAL
REPAIR/ADD ON 15,00
? SHOWER 3.00 ?
WATER CIASET 3.00 ?
9 BnTH Tus 3.00
IAVATORY 3.00
? KITCHEN SINK 3.00
? LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
T WATER HEATER 3.00 3 ?
? FLOOit DRA-lrN 3.00
?
/ GAS PIPING OUT.
?
(MINIMUM - 1) 3.00 3
? ROUGH OPENINGS 1.50 ?U
_ oTtiER
_ WATER SOFTENER 5.00
_ YRIVATE DISP. 15.00
_ U.G. SPRINKLIIt 3.00
_ W. T[JRNAROUND 15.00
STATE SURCHARGE .50
TOTAL: S 17 74 CIV
COMMRCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUZRED FOR EACH DWELLING UNIT.
WORK DE5CRIPTION:
OWNER NAME;
SITE ADDRESS:
TENANT NAME:
SUITE #: _
INSTALLER;
CONTRACT PRICE:
1% OF CONTRACT FEE. _
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
kDDRESS:
'jTY: ZIP:
PHONE #
STATE SURCHARGE
TOTAL:
$
$
? OR' ( S IGNAT[JRE)
CITY OF EAGAN
PHONE #: 423-1144
CTTY OF EAGAN
`Lo?o?'?? MECHANICAL PERMIT
SUBD. (612) 681-4675
RESIDEN'ITAL
RECEIPT # 60f1 3 9
DATE i?av/9?-
, ?
PLEASE COMPI,ETE UppER pORTION ONLY FOR SINGLE FAMII.Y DWEI.LING3. AISO, COMPLETE FOR
TOWNHOMES/COND05 WHEN SEPARATE PERMTfS ARE REQUIRED FOR EACH DWELI.ING UNTT.
OWNER: FEES
STl'E ADDR?'SS: -
? ??? ADD ONIREMODII. (FJIISTING
CONSTRUCITON ONLI) $?,pp
INSTALLER° GENZ-RYAN HEATING HVAC: 0.100 M BTU 24.00
PHONE #: 423-1144 ADDITIONAL 50 M BTU 6.00
ADDRESS: 14745 South Robert Trail GAS OUTL?'i'S . MINiIMUM 1@ S3 EA. ?
CITY: ? Rosemuunt ?Yp: 55065 SURCHARGE: $ Sp
SIGNATURE: • -_..,.. TOTAL: $ 3 S ?.
COMMERCIqI,
PLEASE COMPLF.TE THIS PORTION FOR ALL COMMERCLAL/INDUSTRIAL BUILDINGS. AISO COMPLEfE FOR
APARTMENT BUILDINGS OR OTHER MULTI.FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
FACA DvVELLING UNTT.
WORK DESCRIPITON: CONTRACT pRICE: FEFS
1'% OF CONTRACT FEE,
S
TATE SURCAARGE IS $.50 FOR EACH
$1,000 OF PERMIT FEE. $
PROCFSSED PIPING - S25.00
S
hIDVIMUM FEE - 525.00 .
OWNER- TOTAL: $
SITE ADDRESS:
T'E2VANf:
SIITTE #:
I1V57'ALLER:
ADDRESS:
CT1Y: ZIP:
PHONE #: CI1Y SIGNATURE
SIGNATURE
?
?
CITY USE ONLY
LOT o?02 BL I RECEIPT #: ?UI 711
SUBD. RECEIPT DATE:
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
Date: (612) 6814675
Complete this section only if vou are installing HVAC in single familv, townhome, or condos that are
under construction and are 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 Surcharge: .50
• TOTAL:
Complete this section only if you are remodeling, addinQ to, or reQairing eaisting sin¢le family
dwellings, townhomes, or condos.
Add-on fiunace Add on air conditioning
V Add-on air exchanger, i.e. Vanee system, etc. Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surchazge .
Total: $ 20.50
SITE ADDRESS: I _ yj k"A ??r??? ?al
OWNER NAME:
INSTALLER NAME: Z,50/ "/e PHONE #: w
STREET ADDRESS:
CITY: ?J/YUIF[/f
'rr
3 ??q8'
PHONE #: Io d/' D/ J' I
STA,TE: ?_& ZIP: ?.59 '79
TURE OF PERMITTEE
C:ITY USE ONLY
L BL
SUBD. •
RECEIPT#:
RECEIPT DATE:
1997 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 681-4675
Please complete for. . all commerciaUndustrial buildings.
? multi-famity buildings when separdte permits are= required for each dweiling
unit
DATE: CONTRACT PF?1CE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: •$25.00 minimum fee g_r 1°h of conVact price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of pgrm' fee due on all permits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
f
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (iMaROVEMEnrTS ONLv)
INSTALLER:
ADDRESS:
CIN: STATE: ZIP:
PHONE #:
SIGNATURE:
SIGNATURE OF PERMITTEE
CITY INSPECTOR
I
CITY USE ONLY
L BL
SUBD.
RECEIPT #:
RECEIPT DATE: ?- a b"G v
r
PERMIT#
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT IINOH RD
EAGAN, MN 55122
651-681-4675
Please complete for: D single family dwellings
? townhomes and candos when permits are required far each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe:?rrAoc4c. L,j( Utl bc?-*h - A-a ? ?'?•? $
30,01?
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet * minimum -1 3.00 x = $
Hot tub/spa 3.00 x = $
Ifite4en sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic System new/refurbished ` requires MPC lic. 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new installatioNrepaidrebuild 30.00 x = $
Rou h openin 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under construction 3.00 x = $
Underground sprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under constructlon 5.00 X = $
Water softener if existing dwelling 30.00 x = $
Water turnaround 30.00 x $
State Surchar e .50 -> -> -> $ .50
Total _> _> -> --? S
30. S t)
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
I hereby adcnowledge that I have read this application, state that the information is corted, and agree to compty with all applicable Ciry of Eagan ordinances.
tt is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
nortnal operational and maintenance activities to the facilities constructed under this pertnR within City property/right-of-way/easement.
SITE ADDRESS:
OWNER NAME: : rl Ci.fLt.,-? TELEPHONE #:
(AREA CODE)
INSTALLER NAME:
TELEPHONE#: rQ- 33-r1r7)7
_ (AREA CODE)
STREET ADDRESS:
CITY: STATE: ?Y1 V.J ZIP:
c --
SIGNATURE OF PERMITTEE
? 2006RESIDENTIAL PLUMBING PERnniT aPPUCarioN ?`?'?
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date -? / -? I nQ_'
Site Street Address ?? (--t ? j f Illls Wa v ?Unit #
Property Owner ?tJ? ? " VI 4 t vr? Telephone# (&5i)
[Contractor Telephone # ????`?w
2CI City bLtVMUdLL State Zip?
Address
I The Applicant is: _ Owner xContractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are installing onl a water softener and/or water
heafer, do not compiete this section; move to the next section and check the
appiiance(s) you are installing.
_5eptic System Abandonment
_Water Turnaround (add $130.00 if a 518" meter is required)
Other:
X
Water Heater
Water Softener ?_ $ 15.00
_ new ?eplacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Totai • $ I??v
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work wili 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
a co dance with the approved plan in the event a pfan is required to be revieand a ro,ved.
Ih? ?'?i
Applicant's Printed Name ApplicanYs Signat&e
..,� ; ::+ ' � "� �;: ,,.:
� �I f� � '`4 I �• :� tti•t� y�.+ ' • •
'M '` iI.
' ' • , •t ' • ' '. • � Use BI.UE or BLACK'ink
. , . . • . �---------- -- –,-..
. �• � � � For Offico Uw. —— . �
I
�Ci� f � . . � Pe�„���._ �� ��� � �
o �aa� . , : . , �— . �
Y .� . �s--
3830 Pllot Knob Road i Pe���F�e' O� i
. . . �
Ea9an MN 55122 ' � �ele Received: ( �� '
Phone: (681 j 6T6-6676 - i �
Fax: (6b1) 676Lb694 . i s�en: �
' . . . '" �-------- -------�
� 20�1 RESIDENTIAL gUtL'`DING�PERMIT APP�icATioN �
..., � . . , .
Date: '` f / ' Slte Addre�s: •• .' • � � •
Unit#;
----_______
Name: '1�'� r���,� .� � �' �•• � ���� ��� .��'� �
RESIDENT I —�.--- , Phone;•�/Z- .
OWNER . Address l City I Zip; �� � ' '" � �
. . ' ,�., �,.,y t, ���r
Applicant fs: .t'�vmer ,�;.Contractor• � ••
•,..;
TYPE OF WORK Descriptlon otwodct •��.�L.�L� �P1�,.f�C� ���L,�
Construction CosC � ' '��y Mulq•Family B ilding: (Yes i No,�
Company:''TU✓�n!•��/�,P�(#� �� � Contact: �7��v'�--° �`f����l�
CONTRACTOR Addrass:_�6>/ ���t/��LjL�' ,14�, � . . . Ciry. /�PL� j
state; `�ztp;� �5r'5����'s' � �Rnone.'-�s�.. ' �'9 �-�'S'�8
� � ucenso�:- �"�0 3�oD�'x- ,''�•i.vad Cert�flcate�: /1/'/�,7= 7 -1
______.___
�f the projeet is exempt.from laad certtflcatton�please expiain wh~y�(8@e Pag9 3�for addit(onal Information)
. ' ' . .{• . .:at..�`.y:, '%;�.µt�;;r t��� �!.:' . + .
., . , . . . .. � „ ���y: . ;e�...s:l•Y,'vS',•r� � ..
COMPLETE THIS AREA NL, (F�CQNBTRUCTIN�A E,_,�1N BUILDING
ln the last 12 montha,has tho Clty o(Easan tssued a permlt for.a slmllat.plan bASed•on a master plan?
,_„_Yes _,,,No If yas,date and address ot master plan; ' • �' � • .
,
�.� ::: ,
l;]censed Piumber. '
__ Phone:
Mechsnical Contractor. ' Phone: .. `
Sewer b Water Contractor; ° •� • � ' � : phona;
NOTE:Plans and supportlnq documen ;ha�•yQU�:subttt/t��cpr,tstd�t�gd,to�be publlc lnformaUon. Port/ons ol
. the Informstlon may 4e classlfJ ss � �
. ,_ � 01I''d������ �'O.vJ.s���S�r�l�tq r..+aa�sons that wou�d Permh the �tty to
� . � .�carfc tr t :ar�rtaad��.sear.+ets��� .
• I �F't �d'J'rP,� ` �' �ai • L•'wt t r !° :�+�'.'•• . . .. � .
CAIL 8 EFORE YOU 01(3, Cau vophor 8titt On�CtU�,!'(4b,�)�4b4-pppt(pf prplOC�Jpn lfl8ln�t underoround uUttty demage, Cau a8 hours
aetora.yov intend to d!p to recelva locate�of under!Drotx�d utD�lo.; ' ,
,,,�,}risi is1�:�'�`�3 �`iii�i'�.s+.�,.i3.K�r• �S ; „ + :': .
t hereby acknowted9e that thls InformeUon Is,COmp18t@ 8t1d BCCUre(8,�hat th9 worlc wip be In cpntpmtance wlth the ordlnances end codes ol u�e Cicy oi
Eagan; thal I under�tand this 1s n0{ a D4'rrrllt, but ony en appAcaGon for o permit, snd�ypr1��s,nOt t0 atarl withoul e partnil; lhal the wor3c wi11 Da in
aao�Cance with�tu approved pGan In lha'case o(wo�Sc wtticfi r�qulres e revle�y�and�epproval of.plotu,• •
Exterior work authortzed by,bulldlnp permlt Itsued In accordance wlth tha Mlpne�ota$tato 8ullding Codo muat be completed within 180
days of permlt Issuance. • � „
X_SSf�`''G S�i40�/�2�-�t�-�2 . : . . ,. � \
Applicant's Printed Name X
Ap cant's Signature
Pa4e i o1�
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA166896
Date Issued:02/10/2021
Permit Category:ePermit
Site Address: 1454 Kings Wood Rd
Lot:22 Block: 1 Addition: Kings Wood 2nd
PID:10-42001-01-220
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
John J Jr & Karen Miller
1454 Kingswood Rd
Saint Paul MN 55122--186
(612) 940-8602
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature