1457 Kings Wood RdPERMIT
City of Eagan Permit Type:Building
Permit Number:EA128705
Date Issued:12/01/2014
Permit Category:ePermit
Site Address: 1457 Kings Wood Rd
Lot:10 Block: 2 Addition: Kings Wood 2nd
PID:10-42001-02-100
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 by law in ALL single family homes .
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Paul D Kessler
1457 Kings Wood Rd
Eagan MN 55122
(651) 452-8827
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
?y w
?
s ,
,
-.4 .
,
(gtr#i#trair u# Orrupttrify
Citp of (Eagan
lonarutnd of gwlbwo jwtdim .
7Ris Cem'fecate issued pursuant w the requiremexts ojSection 306 of the Unifonn Butfding
Code cerafying thal at the linre oji.muaxce!!us srructure wns in rnmpliance wr11i the r+arious
ordinahces oj the City regulaling building evnsrruction or usz For the joUowing:
UK ckmirmfias SF DWG/GAR W& perwiNM 20066
OWVNWrTyz ? 1 Zating DWzict RI Tracow VN
MARK saw90N fJOFISfAlCTIO? 1614 Ea.IFF RD, B`VII1E
?? 1 57 I?S F10d1) RQAD Locarr L 10, B2, KIIdGS WOOD ZDID
'"
o?l - ?l, . 5/18/Q2
nwG
&Uw" owd
POST IN A CANSPICUOUS PUCE
„ -?-
CASH RECEIPT '
CITY OF EAGAN . I?
3830 PILOT KiV08 ROAD
..,
EAGAN, MINNESOTA 55122
DA7E -14
F? Y"
AMOUNT
8 OOILARS
?ro
? CASH ?,1 CHECK
BY
C ? 17141 wh„?Pe???,
Vellow--Posting Copy ?
Pink-File Copy
Thank You
SEWER & WATER PERMIT
CITY t7F EAQAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan; MN 554 21
?
OFFtCE USE ONLY
PERMIT DATE
WATER PERMIT # SEWER PERMIT # ? -
METER # B.P. RECEIPT #
READER # B.P. RECEIPT DATE =- ? •- `? '
METER SIZE
ISSUE DATE - PRV - BOOSTEA PUMP
.._ .....': tYi;i:D
SITEADDRESS
' LOT =-BLOCK • SEC/SUB'Scl?'
APPLICANT: n.n Cn., < < - , - t ,
ADDRESS: ' '' t !?
CITY, STATE ? . _ ?:fd ZIP = -
PHONE:
PERMR REQUESTED
- SEWER '' WATER - TAPS
-COMM/IND " RESIDENTIAL
? NEW - EXISTING
PLUMBER: u,,t_; ? r. ?
ADDRESS: t '- ;q,:-' . I AGREE TO COMPLY WITH CITY OF
CITY, STATE
EAGAN ORDINANCES:
ZIP ? T -
PHONE: , t
.
OWNER:
ADDRESS: SIGNATURE WHEN METER ISSUED
CITY, STATE ZIP
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE n 7 i^ ?/-; '
WATER PER IT # SEWER PERMIT # 12527
METER # s B.P. RECEIPT #
MgMR B.P. RECEIPT DATE 02 ?Q'
METER SIZE k
ISSUE DATE ?' a a-?- PRV - BOOSTER PUMP
WOQD
SITE ADDRESS ???+? $uad
LOT ' BLOCK ' SEClSUB(ck??42?=1 '
P.ING WOOD
APPLICANT: '" i c-+.C k - "ny c' ny'z t r„ • i ?
ADDRESS:
CITY, STATE ZIP
PHONE: r2$3I2
PLUMBER:
ADDRESS:
Schulties Plumbing
1521 94th AVe N.E.
CITY, STATE ZIP`' - ' `
PHONE:
OWNER: .7nhri-.nI ^;,nstrti^, inrl
PERMIT REQUESTED
`i SEWER -WATER - TAPS
-COMM/IND RESIDENTIAL
? NEW - EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
•y - . . _
ADDRESS: r 1 ; f'- ?( '. S?w /?IGNaTURE S ED
CITY, STATE ZIP 7HE
PHONE: _ "??l
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
. 5.. . . . ... . . .'
' . . p . . . . . . . . ..
, CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21- 199, Eagan, MN 55121
PHONE: 681-4675 ;
BUICDINCz?PERMIT Receipt # I
Tobeusedfor SF DVG/GAR Est.Value 5205+G`00 Date FEB 4, 19 92 '
Site Address 1457 KINGS Si00D RD
OFFICE ?
uSE ONLY
Lot 10 Block Z Sec/Sub. KINGS it00D 2ND
Occupancy R'3 FEES
M"1 ?
PafC@I N0. z
i R_i
i
Bldg. Pertni[ 11007400
liARK JOHPISOt1 COlIST
NBRIe on
ng
(ACtuaq Const
Y-N
gmtyrye 102.50 j
W Address 1614 E CLIFF RD (Allowable) V'N
655.00.
rw Review ?
? Cj?y BURIiS V 1 LL8 l!N Zp 5 5 3 3 7 hrories
n
L 74 ? License 5.00
s?tr?as-? y ?'/
"? g
e '
?
10O•Cro
G.
Phone Deplh SAG Ciry
? Name SRME S.F. Total
- sac, MCwcc •OC \
Q
?d? S.F.Foolprints
On Site Sewa
e - 6I5.00
Waler Conn
? (;jh/ ZjP g
OnSiteWell _ WalerMeter 95•00 ?
?
Phone MWCC Syslem R -
Acct. Deposil
? ?
Ciry water X
C?. g q 000323$
?? PRV Required _ S/W Permil 3o•0o A
I hereby acknowlege ihat I have read this application and state that the Booster Pump - SM/ Surcharge •50
information is correct and agree to comply with all applicable State of
Minnesola Statules and City ot Eagan Ordinances. ?•? ;
Trealmenl PI '
q
Signature ot Permit9e APPROVALS Road Unit 380.00 ;
A Building Permit is issued lo: !'IARIC .)OHN&U17 COl1$T Planner - Park Ded.
;
on the express condition that all work shall be done in accordance with all cou^di -- ?p? hmlby Za. 00 •
applicable Stale of Minnesota Statutes and Ciry ot Eagan Ordinances. Bldg. Off.
4??.0?•?
Building Otficial
Variance
-
TOTAL
germil No. Permit Holder Date Telephone #
S/W
' Pu,MBING 7?-
-
HVAC 1
7771
ELECINI
ELECTRIC
Inspeetlon Oate Insp. Comments
FooNngs I Z_ ?y fe-
Foundation
Framing
Roofing
Rough Plbg. I
Rough Htg.
I5ul. -V)ls m*
lwf
Fireplace
Finai Htg.
Orsat 7est
Final Plbg. Plbg. Inspector- Notiy Plumber
Const. Meter
Engr./Plan
Bldg. Final 04_sZ
Dedc Ftg.
Deck Final
Well
Pr. Disp.
ve--vz Q O? ft
4
DATE: FEB 4, 1992
RE: 1457 KINGS WOOD RD (MARK JOHNSON CONST)
x Your SGwer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) untii the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
_ Your Sewer & Water Permit for the above property cannot be completed for the follo.wing
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
aaa,r;,s5: 1457 KINGS WODD ROM Lot 10 Blk 2 Sec/Sub
These items were/were not complete at the time of the final nspection.
D t5/18/92 Yes No
Final grade (6" from siding) ?
Permanent steps - garage ?
Permanent steps - main entry
Permanent driveway ?
Permanent gas t/
Sod/seeded grass ?
Trail/curb damage
Porch
Basement finish ?
Deck p- -
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 befora
freeze potential exists. 4
RFCYLIfDNFER
White - City copy Yellow - Resident copy P1nk - Contractor copy
CITY OF EAGAN P?O2OO66
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:. 681-4675 Receipt #
To be used for SF DWG/GAR Est. Value $205, 000 Date_,- FEB 4, 1992
5ite Address 1457 KINGS WOOD RD
Lot 10 Block 2 Sec/Sub. KINGS WOOD 2ND
Parcel No. _
Name MARK 10HNSON CONST
x
w Address 1614 E CLIFF RD
- Cily BURNSVILLE MN Zp
Q Name - Sat.tF
? Address
? citY ZP
? Phone
License # - 0003288
I hereby acknowlege that I have read ihis application and state Ihat Ihe
information is correct and agree lo comply with all applicable Stale of
Minnesota Statutes and City of Ea an Or in ces.
Signature of Permilee '
A euilding Permil is issued to: LLt°° JOHNSON CONST
on Ihe express condition that all work shall be done in accordance with all
applicable Stale ol Minnesota Statutes and City of Eagan Ordinances.
Building Official -Q?1.?.?
OFFICE USE ONLY
FEES
Occupancy R-3 M=1
Zoning - R-1 BIdg.Pertni[ 1;007.00
(Actuap Const Y=N Surcharge 102 . 50
(Allowable) V=N
Plan Review 655.00.
# of Stories -
Length 74' LLense 5.00.
Depth 40'. SAG City 100.00
S.F. Total - SAC, MCWCC 700 • 00
S.F. Footprints -
On Site 5ewage _ Water Conn 675.00
On Site Well - Water Meter 95.00
MWCC System X 30. 00
Acct. Deposit
Ci1y Watar x
PRV Required _ S/W Permit 30.00
8ooster Pump - S/VJ Surcharge . 50
Treatment PI inn _ no
APPROVALS Road Unil 3.$8...0Q
Planner - Park Ded.
councii -- no% penalev 20.00
BIdg.Ofl. -
10..0
0Q
4
variance - .
9
TO7AL
?,. ?---- REQUEST FOR ELECTRICAL INSPECTION
; J2336 ? See instructions for compteting lhis fortn on back of yeilow copy.
'X" Below Work Covered by This Request
`?TMe?°?^ EB-00007.08
? ?e3
?k
ew dAd Rep. ., Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Fumace
Farm Air Conditioner
Other (specily) Contractor's Remerks:
Compute lnspection Fee Below:
# - Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps / j 0 to 100 Amps ?
Transformers Above 200 _ Amps Above 100 _ Amps
SigftS Inspecror's Use Oniy: TOTAL
?
Irrigation Booms ??
? ?-
Special Inspection _
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee ,.-5C? COMPLETED WITHIN 18 hjjDNTHS.
I, the Electrical Inspector, hereby
if
th
h
b
i Rough-in
y
cert
at t
e a
ove
nspection has
been made. Final oare
OFFICE USE ONLY - ? This request void 18 months from
.-? ? ?- -
;«
?'
? 3 6 1 ? ?
J
??1
(
Request Date Fire No. Rough-in Inspeclion
Fequired?
? Ready Now {8`Will Notiry Inspetror
:Yes L- No When Reatly?
19 ticensed contractor p owner hereby request inspection of above electricat work at
Job Adtlress (Street. Box or Route No.) Ciry
rnC•-=>WeY-,ll ?ACqQn
Section No. Township Name or No. Range No. Counry
/J' Oi A
Occupant (PR,I?NT) f /?J
J Phone No.
i nson n5_
niC V-s /-/(0,24
Power Supph??!
i-? Kc^.TA ?i, LrGT? iC Atldress
?";s2?M rrtG
Eleclncal C or (Company Name) CoMractor's Licensa No.
?sC ??rrr?ic
?r,?•, c'?1;???f? ?
j
Mailing Atltlress (C?oncrado?f r Ownea Making Insta?ialioni
?
L
?
r? .
;, ..
.9-&an !
96,
?P_tL?r?
ature (Contractor/O er Making Installa[ion) Phone Num6er
MINNESOTA STATE BOARD OF ELECTRIpTY
Griggs-MtOway 81tlg. - Room 5173
1821 University Ave., St. Peul. MN 55104
Phone (612) 642-0e00
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED 8Y THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
r I
;a
t .
RFQUIREMENTS:
SINGLE FAMILY
1992 BUILDING PERMIT APPLICATION
CITY OF EAGAN
XOOLL
2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS.
MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS.
# OF UNITS RENTAL FOR SALE
COMMERCIAL 2 SETS OF ARCHITECTURAL 8 STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS, 1 SET OF ENERGY CALCS.
PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING
DAY OF MONTH IN WHICH REQUEST IS MADE -Q@ LOT CHANGE IS REQUESTED ONCE PERMIT IS
ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH
ADDRESS IS DESIRED. NO CHANGES WILL BE ACLOWED ONCE BUILDING PERMIT IS ISSUED.
T08eUSedFor:Single/Family valuation: ? Dflt@: JanuarY291 1992;:
5ite Address 1457 K
° Lot 10 Block z
Parcel/Sub King
Owner_M
Address
City/Zip
Phone 890-2242
Corrtractor Mark Tnhn
Address 161 4 F a5
City/Zlp Burnsville 1
Phone.g9o-2242
Arch./Engr. Carlson Designs
Addf855 2307 Grange Ave No.
City/Zlp COdB Oakdale, MN 55119
aOS,aQO
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
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
Phone # 770-8048
R-3 M-1 Bldg Permit
R- / Surcharge
)7- r.4 Plan Review
v-N License Fee
5AC, City
7FL! SAC, MWCC
y u Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
? Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
f - ?S
FEE
/007.c
700,001
3o4oa i
3aa, 00 I
Sewer/WaterLicensedContr. scnulties Plumbing (786-4007) .Processingtime
for sewer/water permits is two ays once area as een approve .
Wood Road _
2nd. Addition
Burnsvill
ac?rees that all work shaii be done in accordance with
(S'ig-nature o Permittee
all applicable State of Minnesota Statutes and Gity of Lagan Ordinances.
r I
VAL"?? r?r
346x24?
6s ? ,)? zit,. .
?oga? rs`c IG,zo?
llyo
llX ??i ° Z98
T T Z-
)S T" P,.?00??
t???? T s 1 G?G.?
_r
1 ?I $8 ?C 53
(?+??? U?
.---?----?
g?96 0
Zri? ?? Look
1-4 1 *-/ '3t--,) -= 12- (o C.
?xz-l (1tp?
1?K3o? ?$4
__-?.--
152?
aoH L-108
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?? ??????o W?
,..
,
;
;
sURvEvvA's cERfiIFICArE
MARK JpHNSON CONST;
.. . . ,
t.: iR':
?
?
D
xarE_ euLa?0 DIMiMg10M9 eHOruN AaE fon Er"? o,?u,? ?RtGI1?T?ERI?G I?E??'
a VMreAI, • LocATroN OF 3t11UCruRIC OMLr. !6E ?? ruws ?dt suIto?R A ?+?Troll
HOT=! ao lWoIc 9ms iNVe'sTBAnGN HAS elRN COMPLfTQD
oN 'MIa Wt Br• !HQ s11RVEroR. 7M EArAqILfff OF
SOILa 1b SUPPORT tME tPlCIFIC HOUe[ r110r0![0 (S
NoT TME RE9PONSMIIItY OF 7N[ SURVEYdR
'4DEfVQTEB PiiQF'OSED SURFACE UFiAINAQE
p DENQTE9 lAON MONUMENT 6ET SCALE; 1 INCH -3q ' FEET
• QEtdQTEB IfiON MONUMCNT FaUND PRUPClSSED tiARAGE FLQM - SS a:1 ftff
X000.0 DENOT6B Eii3TINO ELEVATlpN pFIC7POSED 1OM16ST FLOOR -87t. f FM
(000-0) DENQTES PRQP09ED EIEVATION PROPUSED lUP OF BLOGK -#&V3 IM
VME NEREBY CER7IFY Tt7 MARK JOFNSaN CON9T. TNAT THIS IS A TAUE ANO CbRRECT
RlRrReElutA7lpN OF A 8URM OF 7t{E BOUNUAfiIE$ OF;
LAf 10, 400 2, KINO'S WtXM 2Np AQ!]1T10N6, Cocordbq tc+ (he vetotded plot tlmmd,
f7okoto Dmty, MinnflOtG.
IT DOE6 NOT PtJflPORT Td Sl104N 1MPROVEMENTS QR ENCROACHMENTS, FXCEP7 A5 SHOWN. A$
SURVEYED 81f ME OR UNDER MY OIRECI' SUf ERWSiON TH13 15TH UAY OF JAHI , f992.,
MWoSeo aMDEa a +KemE
T?Ker FRM T"t s?wH aaxq 6
RROl1eN bbMT110L h,.AN IoR
KIIA3 MI'000 wD ADDITION
v"1??41T MoooMes Fa,Nnc
ROOS A .. IFIC. UST Oi47LD
i-s-oo
James R. H'ill, inc.
PLANNERS 1 ENC3INEERS / $URVEMRS
25dp Vy, Cl'Y. nb. 42 9 BUANSVILLE MN. 668&7 • A11-4903044
JAFJ 29 ' 92 11: M-
614 P03 4
51QNE 8 R. HILI, INC.
BY? ? ._ . -
JOHN C. LAR5QN, IAND $URVEY?R
MtNNE$01'A LItEN6E NUMBHi 19928
"
?? ? '?2 jii04_ .- 614 P02
.
? SURVEYQR'S CERTIFlCATE MaW JaHNSON cor?sT_
.
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p?'??4? ? f?„ •?''`
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41?
` LOT 10 ?
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!
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(a*c) FnEC-Kl
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OAR1a!
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raoposco
oR?vmr
4
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L_oi:
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4
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f R??
T IF-T.R.M.K
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5200
?„ ?? ?f?i??? Y'?•? ?
.. ... ?
,
SCALE' 1 INCH 4t? RZT
Flames R. Hi(1, inc.
tS / EN{31NEERS / SUaVEY?FtS
RD. 42 • BURNSNLIE, tuiN. 55387 0 812-800-A044
r:STc;RIOn LivYLLGrE AJ::tteiGF, "U" CGNlPOTtiTICN
owrrEx JOe # rxl?2 fW wL PLart No, q'L o 1
SITE ADDRESS LcT i<24 04"Mpn ZNnAi»VATE ,A?-?. 2l iqaM-
coNTxxacTOR M"*- .?o1aN:5PON e,e+us-r" lSONS
Determine worldng square footage of each
1. Total exposed wall area...... ?5?1•?i? sq.ft. x.'L =
2. Total roof/ceiling area...... ?'r'J?•? sq.ft. x.-?u = ?? Z
3. Total floor/cant. area....... sq.ft. z?_ (2i?
Total exposed wall area above floor 3S??.S
8• TOt81 W8L1 WiTYdOW 8I'98...????????.s??a??????• 4oba-l
b. Total door area.............................. 150(p4
c. Total sliding glass door area ................
d. Total Yiraplace wall area ....................
e. Total Wall framing area (average 10%)........ ?
f. Total net wall area above floor .............. a
g. Total r3m joist area .......................... '35. O_
Total exposed foundation area 1'1I,°v`8
h. Total founiation windara area .................
i. Total net Poundation area above grade........ !?l?o b
Determine ^0" value of each wall segment
g. 4-0(Pp ?7A' x "u" , 35 lML t I?b
b. '15,te4 x "U" . IM - 9, rob
C. x "IIM -
d. x "U" -
e. .5 x nII" , 104 - ? ??
f. V(P 1, 0x "D" ,04Go - I?ife,1.
g, .0 x "U" .04'S = l5.3 --
h, z "U" _
z ?-
4 . ................................... Total = 34011-Z
If item #4 is the same asp or less than item #10 you have met
the intent of 5BC 6006(c)2.
Total exposed roof/ceiling area 1524,0
J. Total skylight area .....................................
k. Total roof/ceiling framing area (aver. (.10a16"o/c),,.,,
/ g (.062yc?24"o/c) ...-
1. Total net insulated roof ceilin area ..................
Determine "U" value for each rooffceiling segment
J. R "U" _
k. r x nU#1
l. 14 .'1 X "U" &07i1 =
50 ................................................. Total
If total of #5 is the same as, or less than #2, you have met the
intent of sBC 6006(c)1.
Total exposed floor/cant, area Z*'L' 0
?'??Z'
m. Total floor/cant. framin area (average .10%)..660.0669
n. Total net insulted floor7cant. area .................... o
Determine "U" value for each floor/cant. segment
m. Ml- x "D" ==?? = 1?5
n. Zfr" x "U"
6 . ................................................. Total
If total of #6 is the aame as, or less than #3, you have met the
intent of SBC 6006('c)3.
wI.2ERNATE BUIIDING ENVEIAPE DESIGN
To utilize the total envelope system method, the nalues established
by the sum of items #4, #5 and #6 shali ngt be greater than the sum
of items #11 #2 ard #3.
1.41S.°o'I 2. ?flt4oZ 3. 1 Z0 (to = 51711 oQ
y.. t6o?,Z 5, # 72? 6, S.oB = 4-01.55
Prepared by ? -
Date l ' 2 - `I Z
1'fRU 3TDD Int. Air .68 THRU INS. WALL Int. Air .68
rr/ 9.R. & SIDING 1/2p S.x. 3R. & SIDING 1/2" S.R. .45
3tud !P'SS Co " Ins• ??,0
?h"oXV,oAriD
Z? ?----- . LS 1/2''p?c ?ar?» ? ?ob
siaing . 7b 9iding ,1 b
?
r
Ect. Air 17 &ct. Air •17
Total "R" = al(49k . Total "R" _
?
1IR = "U" _ ?tnq' 1/It = "II" _
THRU RIM
Int. Air .68
(40 Ins. M 0
THRU CONQ BIACK
Int. Air
C.B. ( I'L ")
Qpt. Ins.
Eat. Air
Opt. s.R.
Opt• .Sid•
Total "S" _
1/R = "U" _
.68
3.0
JOIS?
THRU CLG,
mm-ER
u C.
Opt. 9tyro.
1 1 /2" Wood 1.89
yZ,"ox?aevswn 'fif
Siding ,Z8'
Ext. Air .17
Opt. Brick
Tbtal "A" _
1/R="U"=
Int. Air .61
S.R. (qbo) ,S4
cig. renb. 4lp5
Ins• ( "); 3s.o
sti11 air .61
Total "Aw =
1/R = "0^ _
Q. ?i
G -
/ •
TfiBII CLG.
INSULATIODi
V-
?
017
?,13
L, t4d
Int. Air .61
S.R. ('IS') , 54.
Iis. ( ") 4-5.0
Stili Air .61
Total "&" _ 4(0,7p
l/g = "pa = .Dy?
1?U KEGM. TAt• Air •92
AT ?IICE'S Carp.-Pad l?'Z3
Yinwl
5180 IIttd. .82
11z• Ply• .6z
aosst nepth K4S?
5/sM s.a. .56
stsii air .9Z
l.CWl 'A» 9 i?lY I
1/R _ "II" m , d(pQ
TSRII IDf$ • IAt • Air • 92
AT TIICIC'S Carp.-Fad
91zq1
5/80 vAa. .a2
s /z• 1 Ply. .62
ML °I A ins. 30.0
5/$" s.x. .56
stsu Air 09, ,
TOtal. ORO _
1 IR = "II" = 0 ??
ti
RESIDENTIAL
BUILDING PERMIT APPLICATION
,55-7 Z Z CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Construction Reauirements
• 3;egistered site surveys showing sq. ft. of IoL sq. ft. o( house: and all roofed areas
(20% maximum lot coverage allowed)
• 2 cocies of plan showing beam & wmdow sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot piatted after 711/93
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE / 19
?
v?
RemodellReoair Reauirements
. 2 copies of plan
• 1 set of Energy Calculalions for heated additions
• 1 site survey for exleriar additions 8 decks
• Indicate if home served by septic system for additions
r,, ?
VALUATION $ I l ?T`i' ?lc?" ?
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Cate9orY _ M[vvE:SO'1'.\ RULES 7670 G\"1'I:GORY l VII\v?,SO'fA KI:LL•:S ifii? --
C-r ?:,• I . ' M r= (-`.
(d submission type) . Residential Ven6lation Category t Worksheel Submitted • New Energy Code Nlorksheet Snb i itfed
• Energy Envelope Calculations Submitted '' ?
$_, ?, i_ Z002
Plumbing Contractor.
Plumbing systcm includes:
Mechanicat Contractor:
Mcch.uiical systctn includes
Sewer/Water Contractor:
Phone #
_ Water Softener _ Lawn Sprinkler "V --F-ee: .S9U.00. -
Water Hcater No. of R.I. Baths
No. of Baths
Phone #
-- Air Condilioniii; Pcc 370.00
_ EIeaL Recover}' Syslcni
Phone #
---------° °-------------------------------------°-----------------------------------------------._...._..--------------
I nereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinan es
Signafure of Applicant
OFFICE USE Oti LY
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
- Updated 4102
Pr"W
PROPERTY OWN R Q'f' ie TELEPHONE?[3[3y!
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 D4-plex
O 07 05-piex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
0 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Pibg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch(screened)
? 24 5torm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Att - SF
? 36 Multi
O 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 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 'Demolition (Entire Bidg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning Ciry Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaL'C.O.
_ Footings (deck) FinaUNo C.O.
_ Foorings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Warer _ Final _ Poof _ Ftgs _ AivGas Tests _ Final
_ Framing _ Siding Stucco _ Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Approved By , Building Inspector
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (512) 454-8100
1% OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
ip T: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
_..,:.......
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------- -------------------------------------------------------
WORK DESCRIPTION FEES
NEW CONST -Z
ADD ON
REPAIR
OWNER NAME: da h hs o h'
SITE ADDRESS : l?fs? ,/ h9S G.? 0 O d ??
LOT: pv BLOCK ? SUBD.
INSTALLER:
ADDRESS:
12481 ahode Ists Ave? ?So.
avill CITY: 5???7 -
savage'
rxorrE #: 894-0005
FEES
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BIIILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMZTS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
---------------------------------------- _-------- ------______------______-_-
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
FOR CITY USE ONLY 39. ys?
PERMIT # _
RECEIPT # % SO/„DATE: 3 S
ADD-ON MINIMUM $35..-9?
HVAC 0-100 M BTU 24.0
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 1%?(3.00
OF 1 PER PERMIT
SUBTOTAL: $36.60
STATE SURCHARGE: .50
s30.su
TOTAi:
l ?/1 .1A
SI&.1QATUREeOF PERMZTTEE
$
(SIGNATURE)
CITY OF EAGAN
CITY OF EAGAN FOR CITY USE ONLY
3830 PIIAT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE; (612) 454-8100 RECEIPT #?? S O//
X'." DATE : S oZ.
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ -----
WORK DESCRIPTION --------------------- ---- ---------------------
COMPLETE THE FOLLOWING: ------
N0. FIXTURES EA. TOTAL
NEW CONST ? ADD-ON MINIMUM 15.00
ADD ON ? SHOWER 3.00
REPAIR ? WATER CLOSET 3.00
BATH TUB 3. 00 &Cb
LAVATORY 3.00 &7?07
OWNER NAME: KITCHEN SINK 3.00 :560
L LAUNDRY TRAY 3.00 ?
SITE ADDRESS: ? HOT TUB/SPA 3.00
? WATER HEATER 3.00 ?
LOT:? BLOCK ? SUBD. ? FLOOR DRAIN 3.00
G
G
o
INSTALLER: l)
(MINIMUM
- 3.00 ?.?
I
? y ROUGH OPENINGS 1.50
ADDRESS: OTHER
?? ?
?? WATER SOFTENER 5.00
CITY:__ !?A__ ZIP:
/ PRIVATE DISP. 15.00
__--7 U.G. SPRINKLER 3.00
rxuNr: vv / j?
SUBTOTAL
ST. SURCHARGE .50
IGNATURE OF PERM-PfTEE
TOTAL: S ?56. OO '
?aMMEBGiALji?IDUS3'RIAT.;^ 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:
QWNER NAME:
SITE ADDRESS:
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITl': ZIP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.SO FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL: $
(SIGNATURE)
CITY OF EAGAN
r.ot /v Block ?
Subd.
UNDERGROUND SPRINIC.ER SYSTEM
PLU1bxBING PERMIT
Date ? 3 9 Z
Receipt #
_ Commercial: $25.50 + water tap if required. (City installs all taps up to 1"). If
adding new service, a water permit will be required, as well.
S E7dsting residential: $15.50 (Plumbing permit not required if backflow preventor was
previously installed).
_ Residential developments: Fee to be determined by building inspections department.
May require payment of water permit, plumbing permit, WAC, and water treatment
plant fees.
/ 4 5 ? a4a (??
(Ad ess be sprinklered)
Homeowner/Plumber: j6S,?PK P12 < &'L--
Phone #: ys Z- °" 76--W
Street Address: /lJs? ?'iA1w1do0 ?d
City, State, Zip: /'vf/U SS`!ZZ_
Owner Name: S?-? -
Street Aiidress:
Phone #:
Irrigation Contractor:
Phone #:
7 - 2 .5-?Z jc???? 7CS I ?/3,? c
I hereby aclnowledge that I have read this a?cafion and sta"fe that t?he information is
conect and agree to compl with all applicable City of Eagan Ordinances
Ll -,h ?
cc: Engineering Department
Go ' / J, 2 .. L. .? i<'u? ?-? .,
,?<rr
CITY OF EAGAN
PERMIT
WORK WITHIN CITY ROADWAYS
Page 1 of 4
1. Location /4/,7 7 k/N6??Wod o dCG.1
2. Nature of Work (,iNqefR </1UUN? $PRlA/ Kc.?rL
3. A construction sketch or plan shall show the Location of the proposed work. A copy of
the sketch or plan shall be provided with permit application.
4. Method of Installation or Construction ?t-1. tv ."c ;&?
AN'VL?4 SHOVdL l.e-'u2K-
5. Work to start on or after and shall be completed by approximately
6. Will detouring of traffic bATnecessary? yu? If necessary to detour ?Araffic,
describe suggested route:
DETOURS: The Director of Public Works shall be notified in writing at
least 72 hours in advance of any detour being established,
changed or discontinued.
NAME OF APPLICANT jt- Sd M ? t?2 f6 '; C.._ PHONE
ADDRESS 2? 4 C /`, ti/ /(q/t-/
NAME OF PARTY OR ORGANIZATION PERFORMING WORK ,S?f??'?"?
ADDRESS PHONE
The undersigned herewith accepts the terms and conditions of the regulations by the
City of Eagan as herein contained and agree to fully comply therewith to the satisfaction
of the Eagan City Council.
For:
vTitle:
Signed:
\
Date: rl?
?
IFOR CITY USE ONLYI AUTHORIZATION OF PERMIT
Fee: $/?,?/ Receipt No. ? Permit No?
In consideration of agreement to comply in all respects with the regulations of the
City of Eagan covering such operations, and pursuant to authorization duly given
by said Eagan City Council; permission is hereby granted for the work to be done
as described in the above application, said work to be done in accordance with special
provisions as hereby stated:
RT OF PUBLIC WORKS
BYf .rv ?..-
'
:
nAT?"%
?
ALL LEGAL REQUIREMENTS SHOWN ON REVERSE SIDE AND ON "SPECIAL PROVISIONS" TO BE COMPLIED
WITH! THE DATE WHEN WORK IS COMPLETED MUST BE REPORTED TO THE EAGAN CITY ENGINEER.
CITY OF EAGAN
PERMIT
WORK WITHIN CITY ROADWAYS
1. Location lq.57 kJiil6S f.jod b Rd
age of
2. Nature of Work UNDcth G2t1UN0 SidRla/ Kc-
P 1 4
3. A construction sketch or plan shall show the location of the proposed work. A copy of
the sketch or plan shall be provided with permit application.
4. Method of Installation or Construction Pi- tW (o -?(t/cf PdtY PrPd? pCCSwd'D /a/
S+`fo vT2 W QrZ K-
5. Work to start on or after 3 Z„and shall be completed by approximately
6. Will detouring of traffic be necessary? P0 If necessary to detour?tra?
?ffic,
describe suggested route:
DETOURS: The Director of Public Works shall be notified in writing at
least 72 hours in advance of any detour being established,
changed or discontinued.
NAME OF APPLICANT J6y6r-,64 e5; ?/2 ( 8'gL PHONE ySZ' I,???
PRINT
ADDRESS 6?A-GOkn1
NAME OF PARTY OR ORGANIZATION PERFORMING WORK s'tv"?
ADDRESS PHONE
The undersigned herewith accepts the terms and conditions of the regulations by the
City of Eagan as herein contained and agree to fully comply therewith to the satisfaction
of the Eagan City Council.
For:
Signed: "
Title:
Date: (c/ Q7
IFOR CITY USE ONLY? AUTHORIZATION OF PERMIT
Fee: $Receipt No. Permit No?
-?--
In consideration of agreement to comply in all respects with the regulations of the
City of Eagan covering such operations, and pursuant to authorization duly given
by said Eagan City Council; permission is hereby granted for the work to be done
as described in the above application, said work to be done in accordance with special
provisions as hereby stated:
. OF PUBLIC WORKS
ALL LEGAL REQUIREMENTS SHOWN ON REVERSE SIDE AND ON "SPECIAL PROVISIONS" TO BE COMPLIfiD
WITH! THE DATE WEiEN WORK IS COMPLETED MUST BE REPORTED TO THE EAGAN CITY ENGINEER.
Page 3 of 4
c. Except for the negligent acts of the City, its agents and its employees,
the permittee shall assume all liability for, and save the City, its agents
and its employees, harmless from any and all claims for damages, actions
or causes of action arising out of the work to be done herein and the
continuing uses by the permittee, including but not limited to the placing,
constructing, and reconstructing, maintaining and using of said utility
under this application and permi.t for construction.
5. Existing Facilities--The utility facility and installations shall not interfere
with any existiiig utility facility on the City's right-of-way.
6. Private Property--The work permit or permit for construction as issued does
not in any way imply an easement on private property.
7. Quality of Work--Finished surface, base and sub-base of road upon completion
of work shall be at least equal to or better than specifications of original
road in accordance with City Standard Specifications. Surface shall be finished
within 48 hours upon compietion of backfill.
8. Cutting Trees--The permission herein granted does not confer upon the permittee
the right to cut, remove or destroy trees or shrubbery within the legal limits
of the roadway or rel.ieve permittee from obtaining any consent otherwise required
from the owner of the property adjacent thereto.
9. Drainage--All waterways and lines of drainage shall remain operative.
10. Pole Anchors--No pole anchors, anchors, braces or other construction to be
put on roadway shoulder, except by permit authorization.
11. Driving Limitations--No driving onto highway from ditch or driving on shoulders
or over curbs where damage wi.ll occur.
12. Lugs on Equipment--No lugs sha11 be used on equipment traversing road which
will damage the road surface.
13. Clean-Up--Street surface and roadside shall be cleaned after construction
is completed and left in a neat and presentable condition.
14. Trees and Vegetations--Burning or disking operations and/or the use of chemicals
to control or kill trees, brush and other vegetation is prohibited without
prior approval from the City.
15. Repl.acement of Sod--Wherever top-soil and sod are disturbed, they shall be
replaced and maintained satisfactorily until the turf is established.
The undersigned hereby declares he/she has read and will comply with all
the PERTINENT REGULATIONS as stated above.
DATE: ?n ? ? SIGNED: ?
r ?
Page 3 of 4
c. Except for the negligent acts of the City, its agents and its employees,
the permittee shall assume all liability for, and save the City, its agents
and its employees, harmless from any and all claims for damages, actions
or causes of action arising out of the work to be done herein and the
continuing uses by the permittee, including but not limited to the placing,
constructing, and reconstructing, maintaining and using of said utility
under this application and.permit for construction.
5. Existing Facilities--The utility facility and installations sha11 not interfere
with any existing utility facility on the City's right-of-way.
6. Private Property--The work permit or permit for construction as issued does
not in any way imply an easement on private property.
7. Quality of Work--Finished surface, base and sub-base of road upon completion
of work shall be at least equal to or better than specifications of original
road in accordance with City Standard Specifications. Surface shall be finished
within 48 hours upon completion of backfill.
8. Cutting Trees--The permission herein granted does not confer upon the permittee
the right to cut, remove or destroy tr.ees or shrubbery within the legal limits
of the roadway or relieve permittee from obtaining any consent otherwise required
from the owner of the property adjacent thereto.
9. Drainage--All waterways and lines of drainage shall remain operative.
10. Pole Anchors--No pole anchors, anchors, braces or other construction to be
put on roadway shoulder, except by permit authorization.
11. Driving Limitations--No driving onto highway from ditch or driving on shoulders
or over curbs where damage wi11 occur.
12. Lugs on Equipment--No lugs shall be used on equipment traversing road which
wi11 damage the road surface.
13. Clean-Up--Street surface and roadside shall be cleaned after construction
is completed and left in a neat and presentable condition.
14. Trees and Vegetations--Burning or disking operations and/or the use of chemicals
to control or ki.ll trees, brush and other vegetation is prohibited without
prior approval from the City.
15. Replacement of Sod--Wherever top-soil and sod are disturbed, they shall be
replaced and maintained satisfactorily until the turf is established.
The undersigned hereby declares he/she has read and will comply with all
the PERTINENT REGULATIONS as stated above.
.
DATE: SIGNED:
i /
J
-- - - (- - ---- __ _ _ _ _ _ _ _. - _ - - _ - _ - - ---- - -- - --
--
_ _
-? .
;
_ --- - - - -- - ` ' ? -- - - ---
-- ---- --- - ?
- ------- --- ? -.. _- --- -
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-
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, --- -- - - - - --- -- - - -- - -- - - -? --- --- - -- - -
--- __ _ ?
-- - ' - ----------- -- -- - - -- - - - -- - - - C.. - - ? ' - - - -- - --- ------ - ---_ __ .
? _ _ -_ -??? ?? -- t9 -- -- - --- --- -- - - - ?
- -- -?-- ---- -i- ----- - - - ---- - --- - _- ?-??' _--..'j 1- j6ScJC+!'
-r- -- - - .__ ? . -
----- -- --
--
- -( .,-7 - - -- -- - -_ --- _ - - - --._
----------- -- - - - "[ S ?- -
- 7---- BAaI??? - --- ---- ? " --e,ti} ??-----? --- --__ - ---._.. _. ----
---
,
' -- --------? -------- ---:_ -- - --- ---? ----- - :a ? --- --- --___ _ -- - - - -- --- -- -- _ _- -----------
` s?rFcy Fxm +wws.= S Z . --- ?
-- ----- --- -- - - - ?- , - -- . --- -- - -
-----___- ----- -- - _ _--------- ---- - ? - ----- -
- --- -- -- . . _ _-- ------ -- - -- _- - i . _ _ -
--
-------------- -----?- --- --- _. _ ---- ---------------------- --- - - ??--_. .._ .___. .... ------ __.._..
____._._... - - --- - ---- - - ? ?
e --_ -
e
?? 64,_,5? . .
2005 RESIDENTIAL BUILDING PERNIIT AppLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
New ConsWction Reauirements
3 registered site surveys showing sq, ft. ot lot, sq. ft, ol house; and all roofed areas
(209b mazimum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 sei o( Energy Calculations
3 copies of 7ree Preservatlon Plan'rf lot platted after 7/1/93
Rim Joist Deqil Op6ons selection sheet (buildings with 3 or less units)
Date 7 , 1
Site Address
Description of Work
Multi-Family Bldg
? /,30
?
RemodeUReoairReauirements Office Use Onlv
2 copies of plan CeA of Survey Recd _ Y_ N
1 set of Energy Calculatfons for heated additlons Tree Pres plan Recd Y _N,
1 site survey for additions & decks _
Tree Pres Requi2d _ Y N
Addrtion - indicate if on-sfte septic system On-site Septlc System _ Y_ N
Construction Cost 21 Gq ' ?
?l&)&S 1`bv7? t?, W6AI'j vvo-) ?122 UniUSte #
3 x >? ?? ?- 6gq') rve
- Y- N Fireplace(s) 2 w/ V-Y''Vy? ?-?.1n
PropertyOwner PPIVIL- 1455Leve- TelePhone# (_?63) y34 'Z
Contractor
Address
YYIf`' - ..,iLy i
5tate
Zip .j Z8) Telephone#(?1o3) S-3f- 2yZ?4_
COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Cate o 1 Minnesota Rules 7672
submission type) • Residential Ventilation Category 1 Worksheet .
Submitted New Energy Code Worksheet
Energy Envelope Calculations Submitted Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y
fee applies N If so, 25% plan review
. -
Licensed Plumber ? ?_:1, Telephone #(
?
Mechanicai Contractor - ? Telephone # (
Sewer/water Contractor ?' E? 1 3 ?007
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a 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 cas of work which requires a review and
approval of plans.
J1''?fL
Applicant's Printed Name icant's Sign e
OFFICE USE ONLY
Sub Types
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
O 05 03-plex
? 06 04-plex
Work Types
? 07 05-plex ? 13 16-plex
? OS 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OB-plex ;Pr 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-pleX Plbg_Y or _ N
? 31 New ? 35
1r- 32 Addition ? 36
3
? 33 Alteration 0 37
? 34 Replacement
Valuation OLP-0
Census Code Lll 3 q
SAC Units
# of Units
# of Bldgs
Type of Const
? 20 Pool
? 21 Porch (3-sea.)
? 22 PorchlAddn. (4-sea.)
? 23 Porch (screen/gazebo)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
Int Improvement ? 38 Demolish Interior ? 44 Siding
Move Building ? 42 Demolish Foundation ? 45 Fire Repair
Demolish Building" ? 43 Reroof ? 46 WindowslDoors
"Demolitlon (Entlre Bldg) - Give PCA handout to appllcant
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
Footings (new bldg)
?f Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof _ Ice & Water _ Final
X Framing
7_ Fireplace _ R.I. _ Air Test -Final
Insulation
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
FinaUC.O.
? Final/No C.O.
_ Plumbing
HVAC
Other
Pool Ftgs Air/Gas Tests Final
Siding _ Stucco _ Stone _ Brick
W indows
Retaining Wall
Approved By: , Building Inspector
Base Fee
5urcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
3 ? ???
06U(,
?
.
?
Y
? °y- r' T
IVRI?E18A'P1?OS '?AERT4f6"'I?rt;a U E
, *r ...
{O . ? n
\ '-
\
1
M1h - ?• .
? y ? •? M
De„
K?
?4,
;+f ? r^c ?' .?' ? tis
? '. +d i
? LOT 10
. ? . .
i
?
,
/onWaoE
F??? ` , ' ' :a? G? ^ p ?f : r , • ? ;
+?? ? ? r? 11?`_ , • ?
' u -fi? ?nornsco ` ('
6 ^tIRIVEIW?Y
??.
???•? ? 89.T < ?,. • r?dit?, ? ? ?
_ -
?.•a -nai.cccraar uosiapuy sewoyl ?
1G?? ??--
.
?is
m_
1 I For Office Use
City ~
of ~a a~ Permit 4G 31 1 Qo Permit Fee: ~"7 d
3830 Pilot Knob Road
I
Eagan MN 55122 j Date Received:
I
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff: j
- - - - - - - - - - - - - - - - J
2009 MECHANICAL PERMIT APPLICATION
Date:. Site Address: L(-1'5--7 Lf -Vi )WO V6
Tenant: Suite
RESIDENT / OWNER Name:-&. t IL Phone:'10' (i1 S Q-7a
Address / City / Zip: L4 -5 - Q k le SS/./
CONTRACTOR Name: BURNSVILLE HEATING & A/C, INC. License Q 06S,6t~__ 7/3
Address: 3451 W. Burnsville Parkway Suites ..:a,. 120
City: Burnsville, MN 55337 State: Zip:
Phone: (?r~4C/- (y(XjS Contact Person: ( 10(5z-
TYPE OF WORK New X Replacement Additional Alteration Demolition
Description of work: " k 1 T' , '06/6 tl) NOTE: Both roof mounted and ground mounted mechanical equipment is required to
be screened by City Code. Please contact the Mechanical Inspector or one of the
Planners for information on permitted screening methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under / Above ground Tank Install / _ Remove)
When installing/removing tank(s), call for inspection by Fire
Other d TCt~ Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x1%
$50.50 Minimum (includes State Surcharge)
Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge increases b .50 for
each
by $ $ State Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
$ TOTAL FEE
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.
App cant's Printed Name Applicant's Signature
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: -Under Ground Rough In -Air Test -Gas Service Test In-floor Heat Final
Exterior HVAC Screening Inspection
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115244
Date Issued:09/24/2013
Permit Category:ePermit
Site Address: 1457 Kings Wood Rd
Lot:10 Block: 2 Addition: Kings Wood 2nd
PID:10-42001-02-100
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
William Krech
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Paul D Kessler
1457 Kings Wood Rd
Eagan MN 55122
(651) 452-8827
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature